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老年肺炎细菌混合感染和耐药性的处理

TREATMENT OF AGED PNEUMONIA PATIENTS INFECTED BY DRUG-FAST BACTERIA
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摘要 自1989年12月至1993年12月,老年肺炎混合感染和耐药性的处理共188例,男140例,女48例。年龄为60~93岁。分为两组:第1组108例,以对G+细菌耐药性为主76例,对G-细菌耐药性为主32例,第2组80例,对G+细菌耐药性为主28例,耐G-细菌为主52例。第2组病人G-细菌感染较第1组病人为多,且病情重。两组采用不同治疗方案,第1组治愈58例(53.7%),死亡31例(28.7%);第2组治愈59例(73.75%),死亡8例(10%)P值<0.01。 From Dec. 1989 to Dec. 1993 188 aged patients with pneumonia infected by drug-fast bacteria(140 males and 48 females, ageing 60-93) were treated. The clinical data of these patients are analyzed in this paper.According to the therapeutic proccdure the cases were divided into two groups.In the first group 108 cases (76 infected by drug-fast gram-positive bacteria (DFGPB) and 32 by drug-fast gram-negative bacteria(DFGNB) were treated by routine antibiotical therapy both intravenously and orally for a longer duration (10-15 days or more).In the second group 80 cases (28 infected by DFGPB,52 by DFGNB) wcrc treated by high efficient wide-spectrum antibioties in high dosage for shorter duration ( about 7 days),added with Chinese medicine and supplemented with drugs of high energitic nutricnts,and then routine dosage of antibioties was given for 10-15 days.As a result,58 cases(53.7%)were cured and 31 cases (28.7%)died in the first group,while 59 cases(73.7%)were cured and 8 cases(10%)died in the second group(P<0.01).
出处 《皖南医学院学报》 CAS 1994年第3期215-217,共3页 Journal of Wannan Medical College
关键词 肺炎 耐药性 抗生素 衰老 药物疗法 pneumonia in aged patients drug-fast bacteria antibioties aging
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