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目的 :探讨老年人肺炎的临床特点。方法 :对本院 1996年～ 1999年收治的 10 0例老年人肺炎患 者进行回顾性分析。结果 :96 %的患者均有 1～ 2种基础疾病 :以咳嗽、痰、畏寒、呼吸困难、消化道症状为主 诉症状 ;75 %体温高于正常体温 ,以肺部罗音为主 (87% ) ;血常规以核左移为多 (80 % ) ,血沉 >2 0mm h占 6 4% ,5 6 %出现电解质紊乱 ,痰培养 89%为阳性 ;X线以小片状及斑片状阴影为主 ,并发症多占 73 % ,治疗效 果缓慢。结论 :老年人肺炎病情复杂 ,并发症多 ,治疗效果比青壮年差
Objective: To investigate the clinical features of pneumonia in the elderly. Methods: A retrospective analysis of 100 elderly patients with pneumonia admitted from 1996 to 1999 in our hospital. Results: 96% of patients had 1-2 kinds of basic diseases: cough, phlegm, chills, dyspnea and gastrointestinal symptoms were the main complaint symptoms; 75% of body temperature was higher than normal body temperature with pulmonary rales mainly %); Blood left to move more (80%), ESR> 20mmH accounted for 64%, 56% electrolyte imbalance, sputum culture 89% positive; X-ray small patchy and patchy Shadow-based, complications accounted for more than 73%, the treatment effect is slow. Conclusion: The pneumonia in elderly patients is complicated and has many complications. The treatment effect is worse than that of young adults