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目的:通过对老年人重症吸入性肺炎的临床资料进行分析,探讨其危险因素、治疗、预防策略,减少老年人重症吸入性肺炎的发病率。方法:选取100例在2014年7月~2015年6月接受治疗的老年人重症吸入性肺炎患者,对患者的临床表现及防治策略进行回顾性分析与总结。结果:出现呼吸道症状的占30%,咳嗽、咳痰占62%,畏寒发热占15%,乏力、精神萎靡占30%,混合感染占15%,死亡占5%。病原菌以格兰阴性菌为主,抗感染治疗有效。结论:老年人重症吸入性肺炎的临床表现不典型,且症状较多,在临床上要对危险因素尤为注意,进行积极地预防及治疗,减少死亡率。
Objective: To analyze the clinical data of elderly patients with severe aspiration pneumonia and explore their risk factors, treatment and prevention strategies to reduce the incidence of severe aspiration pneumonia in the elderly. Methods: A total of 100 elderly patients with severe aspiration pneumonia treated from July 2014 to June 2015 were selected for retrospective analysis and summary of their clinical manifestations and prevention and treatment strategies. Results: 30% had respiratory symptoms, 62% had cough and expectoration, 15% had chills and fever, 30% had agitation, 15% had mixed infection and 5% died. The main pathogens to Gram-negative bacteria, anti-infection treatment effective. Conclusion: The clinical manifestations of severe inhalant pneumonia in the elderly are not typical and have more symptoms. Special attention should be paid to risk factors in clinical practice. Active prevention and treatment should be carried out to reduce the mortality rate.