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目的:总结老年社区获得性肺炎(CAP)患者的临床症状、体征及预后等临床特征。方法:回顾性分析2002年1月-2008年12月我院收治的成人CAP患者的临床资料,比较老年CAP患者(年龄>65岁)与中青年CAP患者(年龄≤65岁)临床特征的异同。结果:成人CAP患者198例,年龄(69±22)岁。老年CAP患者142例,其中68.3%的患者合并基础疾病。与56例中青年CAP患者相比,老年CAP患者人院时出现呼吸困难、急性意识障碍、心率增快及呼吸急促的比例明显增多,而发热和胸痛的比例明显减少。老年CAP患者和中青年CAP患者中性粒细胞分类升高的比例相近,老年CAP患者外周血白细胞总数升高不如中年CAP患者明显。结论:老年CAP患者发病率高、并发症多,症状不典型,应予足够重视和及时诊治。
Objective: To summarize the clinical features, symptoms and prognosis of elderly patients with community-acquired pneumonia (CAP). Methods: The clinical data of adult patients with CAP admitted in our hospital from January 2002 to December 2008 were retrospectively analyzed. The clinical characteristics of CAP patients (aged> 65 years) and middle-aged and young patients with CAP (age ≤65 years) were compared. . Results: 198 adult patients with CAP, age (69 ± 22) years old. 142 elderly patients with CAP, of which 68.3% of patients with underlying diseases. Compared with 56 cases of middle-aged and young CAP patients, elderly patients with CAP showed dyspnea, acute disturbance of consciousness, rapid increase of heart rate and shortness of breath in elderly patients with CAP. However, the proportion of fever and chest pain decreased significantly. Older CAP patients and middle-aged patients with CAP increased the proportion of neutrophils were similar, elderly patients with elevated total number of peripheral white blood cells CAP middle aged patients with obvious. Conclusion: The incidence of CAP in elderly patients is high with many complications and atypical symptoms, which should be given enough attention and timely diagnosis and treatment.