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对资料较完整的148例肺炎病人分成两组,老年组94例,非老年组64例,就其临床表现、实验室及X线检查、细菌学检查,并发症与治疗转归等进行对比分析,经统计学处理,均有显著性差异(P<0.01或P<0.05)。结果表明老年组有发病率高,起病隐匿,临床表现不典型,革兰氏阴性杆菌感染占优势,多肺叶受累,合并多种基础疾病、并发症等特征,指出治疗应采取综合治疗,抗感染宜选择广谱抗生素和对肝肾功能损害小的药物,避免并发症的发生,以降低病死率
148 patients with complete pneumonia were divided into two groups, 94 in the elderly group and 64 in the non-elderly group, and compared their clinical manifestations, laboratory and X-ray examination, bacteriological examination, complications and treatment outcome , Statistically significant difference was found (P <0.01 or P <0.05). The results showed that the elderly group had the characteristics of high morbidity, occult onset, atypical clinical manifestations, Gram-negative bacilli infection, multiple lobes involvement, combined with a variety of underlying diseases and complications, pointed out that the treatment should be comprehensive treatment, anti- Infection should choose broad-spectrum antibiotics and liver and kidney dysfunction drugs, to avoid the occurrence of complications in order to reduce mortality