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目的:探讨老年重症肺炎的的病因、临床表现、治疗及预后。方法:回顾性分析38例老年重症肺炎患者的临床资料。结果:38例中行有创或无创机械通气达24%,白细胞升高仅占35%,而中性粒细胞升高占71.2%,低钠血症44.7%,低钾血症23.7%,低钙血症21.1%,代谢性酸中毒26.3%,痰培养革兰阴性杆菌检出率为55.3%,病死率31.6%。结论:老年重症肺炎临床特征不典型,并发症多,致病菌耐药现象严重,治疗困难,预后差,病死率高。
Objective: To explore the etiology, clinical manifestations, treatment and prognosis of elderly patients with severe pneumonia. Methods: The clinical data of 38 elderly patients with severe pneumonia were retrospectively analyzed. Results: Thirty-eight cases had invasive or noninvasive mechanical ventilation of 24%, leukocytosis only 35%, neutrophil increased 71.2%, hyponatremia 44.7%, hypokalemia 23.7%, hypocalcemia Serum 21.1%, metabolic acidosis 26.3%, sputum culture gram-negative bacilli detection rate was 55.3%, case fatality rate 31.6%. Conclusion: The clinical features of severe pneumonia in elderly are not typical, and there are many complications. The pathogenic bacteria have serious drug resistance, difficult treatment, poor prognosis and high mortality rate.