目的探讨社区获得性肺炎(CAP)的临床特点和有效治疗方法。方法对66例CAP患者的临床表现、治疗方法和疗效等情况进行总结分析。结果本组患者典型临床表现包括发热、咳嗽、咳痰、发热胸痛及呼吸困难等,而多数老年患者则出现嗜睡、头痛、食欲不振、恶心、呕吐、腹痛、腹泻等非特异性症状。经过全身综合治疗及合理使用抗生素治疗后,本组痊愈53例、显效9例,痊愈率80.3%,总有效率93.9%。治疗期间,未发生明显不良反应。结论社区获得性肺炎患者既可以表现为肺炎的典型症状,也可以出现神经系统与消化系统的非特异性症状,尤其是老年患者常常临床症状、体征不典型、不明显,应注意避免误诊和漏诊。早期确诊,合理应用抗生素并重视全身综合治疗是提高疗效的关键。 Objective To explore the clinical characteristics and effective treatment of community-acquired pneumonia (CAP). Methods 66 patients with CAP clinical manifestations, treatment methods and efficacy were summarized. Results The typical clinical manifestations of this group of patients included fever, cough, sputum, fever chest pain and dyspnea, while most elderly patients had nonspecific symptoms of lethargy, headache, loss of appetite, nausea, vomiting, abdominal pain and diarrhea. After systemic treatment and rational use of antibiotics, the group cured 53 cases, markedly effective in 9 cases, the cure rate was 80.3%, the total effective rate 93.9%. During the treatment, no obvious adverse reactions occurred. Conclusions Patients with community-acquired pneumonia can not only show typical symptoms of pneumonia, but also have nonspecific symptoms of nervous system and digestive system. Especially in elderly patients, clinical symptoms and signs are not typical and are not obvious. Care should be taken to avoid misdiagnosis and missed diagnosis. Early diagnosis, rational use of antibiotics and emphasis on systemic treatment is to improve the efficacy of the key.