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目的讨论老年重症肺炎患者的临床特点,制定出治疗老年重症肺炎的合理方法。方法回顾性分析48例老年重症肺炎患者的临床资料。结果老年重症肺炎的临床表现不够典型,通常伴有基础疾病和并发症,容易导致患者器官功能下降及衰竭的情况。48例患者中,治愈21例,好转12例,无效及死亡15例。结论早期诊断、根据临床特点进行个体化的优化治疗、细心的观察病情、准确的评估、保护好主要器官的功能是提升老年重症肺炎痊愈的关键。
Objective To discuss the clinical features of elderly patients with severe pneumonia and to develop a reasonable method of treating elderly severe pneumonia. Methods The clinical data of 48 elderly patients with severe pneumonia were retrospectively analyzed. Results The clinical manifestations of severe pneumonia in elderly are not typical, usually accompanied by underlying diseases and complications, easily lead to decreased organ function and failure of patients. Of the 48 patients, 21 were cured, 12 improved, and 15 were ineffective and dead. Conclusions Early diagnosis, individualized optimal treatment according to clinical features, careful observation of the disease, accurate assessment and protection of the function of major organs are the keys to improve the recovery of elderly severe pneumonia.