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中国临床药理学与治疗学 ›› 2009, Vol. 14 ›› Issue (1): 94-97.

• 药物治疗学 • 上一篇    下一篇

老年肺炎的危险因素与病原学特点及其治疗分析

闫晗, 刘淑华, 杜密稳, 黄红春, 赵志明, 王顺   

  1. 武汉大学人民医院老年病科, 武汉 430060, 湖北
  • 收稿日期:2008-11-13 修回日期:2008-12-12 出版日期:2009-01-26 发布日期:2020-10-27
  • 作者简介:闫晗, 硕士研究生, 主要从事老年多器官疾病的基础与临床研究。刘淑华, 本科, 主任医师, 副教授, 硕士生导师, 主要从事老年多器官疾病的基础与临床研究。Tel:027-88041919-2906 E-mail:liushuhua200866@163.com

Analysis of risk factors and feature of pathogens and clinical treatment to the old pneumonia patients

YAN Han, LIU Shu-hua, DU Mi-wen, HUANG Hong-chun, ZHAO Zhi-ming, WANG Shun   

  1. Department of Geriatrics, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, China
  • Received:2008-11-13 Revised:2008-12-12 Online:2009-01-26 Published:2020-10-27

摘要: 目的: 调查老年肺炎的危险因素、病原学特点及临床治疗方案, 探讨防治老年肺炎的措施。方法: 回顾性分析166 例老年肺炎住院患者的临床资料, 对照分析研究其年龄、基础疾病、临床表现、病原学特点、治疗及转归的特征。结果: 本组资料显示临床症状及体征不典型者较多, 84.3 %的患者有基础疾病, 病原菌主要为G- 杆菌(71.1 %), 且混合感染达80.8 %。治疗上建议对老年肺炎患者采用降阶梯疗法, 同时应注意抗真菌治疗。结论: 对老年肺炎患者要掌握其规律, 应针对病原学特征进行治疗, 初始经验性抗生素治疗时应考虑使用抗G-杆菌的抗生素, 并要积极治疗原发疾病及对症治疗以提高治愈率。

关键词: 老年人, 肺炎, 病原学, 治疗

Abstract: AIM: To investigate the risk factors, pathogens features and clinical treatment perscription in the old pneumonia patients, and approach measures for prevention pneumonia disease in the old.METHODS: 166 clinical data of pneumonia patients with hospitalization records were analyzed retrospectively, the age, concomitant disease, clinical situation, pathogens feature, therapy and turnover were analyzed too.RESULTS: The data analysis showed clinical symptoms in most old patients were atypical, 84.3 % old patients had underlying diseases, and 80.8 % patients with combined infection, gram negative bacterium(G-) as the major pathogenic bacteria (71.1 %).The pneumonia disease in old should better taking rescue by stages combined with antifungal drugs.CONCLUSION: As to the old pneumonia patients, we should grasp the rules and treat the deseases according to the pathogens feature.The beginning empiric treatment with broad-antibacterials or combination antibacterial should consider G- microbacillary antibiotics, treat primarily disease as well as symptomatic treatment to elevate cure rates.

Key words: the old, pneumonia, aetiology, therapy

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