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本文报告我院1979年1月至1981年6月收治60岁以上老年人肺炎106例,其中男64例,女42例,并与青中年肺炎89例作对比,老年人肺炎有以下临床特点:1.症状不典型,常以乏力(75.5%)、食欲不振(68.9%)、呼吸困难(62.3%)为主要表现。不发热(31.3%)或中轻度发热(43.2%),白细胞总数正常(32.1%)或增高不显著(37.3%)居多,这可能与免疫功能降低有关。2.并发心律失常(34.0%)较青中年组(4.5%)多见。3.电解质紊乱多见,脱水(31.3%),低钾(32.9%)、低钠(52.4%)、低氯(30.5%)、低钙(40%)血症均
This article reports our hospital from January 1979 to June 1981 admitted to the elderly over the age of 60 pneumonia 106 cases, including 64 males and 42 females, and 89 cases of young and middle-aged pneumonia for comparison, the elderly have the following clinical features of pneumonia : 1. The symptoms are not typical, often with fatigue (75.5%), loss of appetite (68.9%), dyspnea (62.3%) as the main performance. No fever (31.3%) or mild fever (43.2%), normal white blood cell count (32.1%) or an insignificant increase (37.3%) mostly, which may be associated with decreased immune function. 2. Arrhythmia (34.0%) was more common in young middle-aged group (4.5%). 3.Electrolyte disorders are common, dehydration (31.3%), low potassium (32.9%), low sodium (52.4%), low chlorine (30.5%), low calcium