CAJ | 학술논문

目的探讨老年人肺部感染的临床特点，以便指导诊治。方法回顾性分析了189例老年肺部感染患者，并与同期216例青壮年患者进行对照。结果老年肺部感染发热者占59.79%，青壮年占93.98%(P＜0.01)，早期无呼吸道症状者老年组占41.26%，对照组为30.09%(P＜0.05)；老年肺部感染呼吸衰竭的发生率为38.10%，对照组为0.29%(P＜0.01)；老年组同时患有其他疾病者占肺部感染总人数的91.53%，青壮年组为56.48%(P＜0.01)；老年组肺部感染中院内感染占19.57%，对照组为3.70%(P＜0.01)；两次以上感染老年组为14.28%，对照组为1.39%(P＜0.01)；病死率老年组为29.10%，青壮年组为1.39%(P＜0.01)。结论老年人肺部感染症状不典型多，易发生呼吸衰竭，伴随疾病及并发症多，院内感染及两次以上感染者多，病死率高。
목적탐토노년인폐부감염적림상특점，이편지도진치。방법회고성분석료189례노년폐부감염환자，병여동기216례청장년환자진행대조。결과노년폐부감염발열자점59.79%，청장년점93.98%(P＜0.01)，조기무호흡도증상자노년조점41.26%，대조조위30.09%(P＜0.05)；노년폐부감염호흡쇠갈적발생솔위38.10%，대조조위0.29%(P＜0.01)；노년조동시환유기타질병자점폐부감염총인수적91.53%，청장년조위56.48%(P＜0.01)；노년조폐부감염중원내감염점19.57%，대조조위3.70%(P＜0.01)；량차이상감염노년조위14.28%，대조조위1.39%(P＜0.01)；병사솔노년조위29.10%，청장년조위1.39%(P＜0.01)。결론노년인폐부감염증상불전형다，역발생호흡쇠갈，반수질병급병발증다，원내감염급량차이상감염자다，병사솔고。
Objective　To investigate the clinical characteristic of pulmonary infection in the elderly patients,so that instruct to make a diagnosis and give treatment.Methods　Look back to analyze 189 cases of pulmonary infection in the elderly patients in contrast with 216 cases of adult group.Results　The percentage of elderly with a fever was 59.79% contrasted with the adult percentage of 93.98%(P＜0.01),nonspecific symptoms in the early stage in the elderly group was 41.26% contrasted with the adult of 39.09%(P＜0.05),repsiratory failure combined with the elderly was 38.01% contrasted with the adult of 0.29%(P＜0.01),accompanied other disease of the elderly was 19.57% and it occurred in the adult was 3.70%(P＜0.01),over two times infections occurred in the elderly was 14.28% with the adult of 1.39%(P＜0.01),mortality among the elderly group was 29.10% contrasted with the 1.39% among thd adult (P＜0.01).Conclusions　These dangerous factors of subclinical symptoms,respiratory failure,accompanied diseases,complications,hospital-acquired infections,over two times infections and mortality of pulmonary infections in the elderly group are very higher than that in the adult group.