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目的:总结分析老年人肺炎的临床X线征象,从而进一步为老年肺炎诊断提供参考。方法:本次研究中以112例老年人肺炎患者为研究对象,回顾分析所有患者的临床X线征象。结果:老年人肺炎临床症状不典型,部分患者以咳嗽、咳痰、低热为主,X线检查后主要表现为肺纹理增多、增粗、存在索条状影或者小片状,所有患者经痰培养后显示,有91.9%的患者存在致病菌生长情况,其中以革兰氏阳性菌为主。结论:老年人肺炎的临床症状表现以及X线征象不具有典型性,与此同时,患者均伴有一定的基础疾病,临床上应予以重视,依靠不典型的X线征象完成诊断。
OBJECTIVE: To summarize and analyze the clinical X-ray findings of pneumonia in the elderly and to provide reference for the diagnosis of pneumonia in the elderly. Methods: In this study, 112 elderly patients with pneumonia were studied. The clinical X-ray findings of all patients were retrospectively analyzed. Results: The clinical symptoms of pneumonia in the elderly were not typical. Some of the patients were mainly cough, expectoration and fever. X-ray examination mainly showed lung enhancement, thickening, After culture showed that there are 91.9% of patients with pathogenic bacteria growth, including Gram-positive bacteria. Conclusion: The clinical manifestations of pneumonia in elderly patients and the X-ray signs are not typical. At the same time, patients with certain underlying diseases should pay more attention to them and rely on the atypical X-ray signs to diagnose them.