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我科自1974年～1979年期间收治年龄在60岁以上的老年人肺炎60例,其中以肺炎为主病入院者19例,占总病例的31.7%,以变性性循环系统疾病、肾脏疾病、慢性肺疾病、脑血管疾病并发肺炎者41例,占总病例的68.3%,因此在临床上肺炎的表现往往被其他疾病所掩盖,而症状不典型,给诊断与治疗造成困难。为了探索老年人肺炎的临床特点与诊治规律,现将60例临床资料作一分析,并结合文献加以讨论。
Our department from 1974 to 1979, aged 60 years of age or older admitted to the pneumonia 60 cases, of which pneumonia-based hospitalized 19 cases, accounting for 31.7% of the total cases, with degenerative circulatory system diseases, kidney disease, Chronic pulmonary disease, cerebrovascular disease complicated by pneumonia in 41 cases, accounting for 68.3% of the total cases, so the clinical manifestations of pneumonia are often covered by other diseases, and the symptoms are not typical, to the diagnosis and treatment of difficulties. In order to explore the clinical features of elderly pneumonia and diagnosis and treatment of law, now an analysis of 60 cases of clinical data, combined with the literature to be discussed.