摘要
目的:探讨老年肺炎的临床特点.方法:总结分析130例老年肺炎患者和80例同期中青壮年肺炎患者的临床表现、辅助检查及治疗转归.结果:老年组和中青年组相比,老年组咳嗽的发生率75·8%低于中青年组86·3%(P>0·05),气促的发生率60·8%高于中青年组25·0%(P<0·01),乏力62·5%高于中青年组32·5%(P<0·01),纳差58·3%高于中青年组35·0%(P<0·01),意识障碍16·7%高于中青年组2·5%(P<0·01),肺部湿性罗音71·7%高于中青年组45·0%(P<0·01),呼吸衰竭的发生率32·5%高于中青年组1·3%(P<0·01),电解质紊乱的发生率68·3%高于中青年组37·5%(P<0·01);治愈率49·2%低于中青年组86·3%(P<0·01);死亡率10·8%高于中青年组1·2%(P<0·01).结论:老年肺炎临床症状不典型且治愈率低、死亡率高,当出现原因不明的气促、乏力、纳差、意识障碍及咳嗽时,应警惕肺炎的可能,尽早明确诊断、及时治疗.
Objective: To explore the clinical characters of aged patients with pneumonia. Methods: Clinical characters, laboratory examination results and therapy effect of pneumonia in 130 aged and 80 young patients were analyzed. Results: The aged group in comparison to the young group, the percentage of cough was 75.8%, lower than that of the young group 86.3%(P<0.01),the percentage of shortness of breath was 60.8%, higher than that of the young group 25.0%(P<0.01), the percentage of weakness was 62.5%, higher than that of the young group 32.5%(P<0.01), the percentage of lack of appetite was 58.3%, higher than that of the young group 35.0%(P<0.01),the percentage of disturbance of consciousness was 16.7%, higher than that of the young group 2.5%(P<0.01),the percentage of moist rale was 71.7%, higher than that of the young group 45.0% (P<0.01),the percentage of respiratory failure was 32.5%, higher than that of the young group 1.3% (P<0.01),the percentage of disturbance of electrolyte was 68.3%, higher than that of the young group 37.5% (P<0.01). The cure rate was 49.2%, lower than that of the young group 86.3%(P<0.01),the mortality rate was 10.8%, higher than that of the young group 1.2% (P<0.01). Conclusions: The clinical characters of pneumonia in aged patients are atypical, and the cure rate is low but the mortality rate is high, when there are shortness of breath, weakness, lack of appetite, disturbance of consciousness and cough, the possibility of pneumonia should be thought of and diagnosis and therapy should be followed as soon as possible.
出处
《昆明医学院学报》
2005年第2期106-108,共3页
Journal of Kunming Medical College
