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由于我国人民平均寿命延长,老年人口不断增加,患细菌性痢疾的相对频率亦随之增加,因此,有关老年人细菌性痢疾(下称菌痢)的临床特征及防治问题,应予以足够的重视。现将我院收治的80例老年性急性菌痢报告分析如下: 一般资料:1960年1月～1985年12月共收治急性菌痢1440例,老年患者80例,最高年龄90岁,其中男54例,女36例。夏秋二季发病者约占78.75%,87.5%的患者(70例)有不洁饮食史,其中吃腐败及隔夜酸馊食物发病者39例,吃制作不洁的凉拌菜31例。临床表现:胃寒发热、腹泻、腹痛、里急后重、下腹坠胀等菌痢的常见症状与中青年组相似,而老年组在中毒型菌痢、脱水、脱水酸中毒、休克及神经精神症状的发生率与中青年组相比均有显著差异(P<0.01)(附表)。
Due to the prolonged average life expectancy of our people and the increasing elderly population, the relative frequency of bacterial dysentery also increases. Therefore, the clinical features and prevention and treatment of bacterial dysentery in the elderly should be given sufficient attention . Now 80 cases of acute bacillary dysentery reported in our hospital are analyzed as follows: General Information: From January 1960 to December 1985, a total of 1440 cases of acute bacillary dysentery were received, 80 cases of elderly patients, the maximum age of 90 years, of which 54 male Cases, female 36 cases. The incidence of summer and autumn seasons accounted for about 78.75%, 87.5% of the patients (70 cases) had a history of unclean diet, including eating corruption and overnight sour food incidence in 39 cases, eating dirty salad dishes in 31 cases. Clinical manifestations: common cold and fever, diarrhea, abdominal pain, tenesmus, abdominal bulge and other common symptoms of bacillary dysentery and young group similar to the old group in the poisoning bacillary dysentery, dehydration, dehydration acidosis, shock and neuropsychiatric symptoms Compared with the young group, there was a significant difference (P <0.01) (Table).