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当前肺部感染仍为老年人的主要疾病及死亡的原因之一。我院干部医疗科1982～1987年收治老年肺部感染者167例(大叶肺炎及节段性肺炎共48例,支气管肺炎17例,支气管炎102例),占内科同期住院病人的17.5%,居第二位。合并慢性阻塞性肺气肿、肺心病、心脑血管病、糖尿病、恶性肿瘤等共147例。发烧116例,占69.5%,多数患者均有咳嗽、咯痰、伴喘息106例,肺部罗音128例,紫绀30例。146例痰菌培养分离出致病菌120株。G杆菌94株占78.3%,其中绿脓杆菌32株(26.7%),克雷白杆菌26株(21.7%)。35例为混合感染。感染死亡6例,占3.5%,
The current lung infection is still one of the major causes of the elderly and death. 167 cases of elderly patients with pulmonary infection (48 cases of lobar pneumonia and segmental pneumonia, 17 cases of bronchial pneumonia and 102 cases of bronchitis) were admitted to our hospital from 1982 to 1987, accounting for 17.5% of inpatients in medical department. Habitat second place. A total of 147 patients with chronic obstructive pulmonary emphysema, pulmonary heart disease, cardiovascular disease, diabetes, cancer and so on. Fever 116 cases, accounting for 69.5%, most patients have cough, expectoration, wheezing in 106 cases, 128 cases of pulmonary rales, cyanosis in 30 cases. 146 cases of sputum culture isolated 120 pathogens. 94 (78.3%) were Bacillus coli, of which 32 (26.7%) were Pseudomonas aeruginosa and 26 (21.7%) were Klebsiella. 35 cases were mixed infection. 6 cases died of infection, accounting for 3.5%