国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
12期
1733-1734
,共2页
社区获得性肺炎%证候%老年患者%特征
社區穫得性肺炎%證候%老年患者%特徵
사구획득성폐염%증후%노년환자%특정
Community acquired pneumonia%Syndrome%Elderly patients%Characteristics
目的 总结社区获得性肺炎的常见证候以及老年患者的特征.方法 选取2009年10月至2010年10月确诊的社区获得性肺炎老年患者38例,对这些病例的临床资料进行回顾性分析总结.结果 所有患者中肺气虚证7例(18.42％),痰湿阻肺证6例(15.79％),痰瘀阻肺证5例(13.16％),脾气虚证4例(10.53％),气阴两虚证4例(10.53％),肺脾气虚证3例(7.89％),肾气虚证3例(7.89％),肺肾气虚证3例(7.89％),肺阴虚证1例(2.63％),肾阴虚证1例(2.63％),肺肾阴虚1例(2.63％).发热18例(47.37％),胸痛10例(26.32％),咯血2例(5.26％),呼吸困难1例(2.63％),咳嗽28例(73.68％),肺炎双球菌痰培养阳性3例(7.89％).结论 社区获得性肺炎老年患者的发热、胸痛的临床特征并不明显,肺炎双球菌痰培养阳性率低.在临床上当某些老年患者出现原因不明症状的时候,应该仔细辨别,提早进行相关检查警惕社区获得性肺炎的发生.
目的 總結社區穫得性肺炎的常見證候以及老年患者的特徵.方法 選取2009年10月至2010年10月確診的社區穫得性肺炎老年患者38例,對這些病例的臨床資料進行迴顧性分析總結.結果 所有患者中肺氣虛證7例(18.42％),痰濕阻肺證6例(15.79％),痰瘀阻肺證5例(13.16％),脾氣虛證4例(10.53％),氣陰兩虛證4例(10.53％),肺脾氣虛證3例(7.89％),腎氣虛證3例(7.89％),肺腎氣虛證3例(7.89％),肺陰虛證1例(2.63％),腎陰虛證1例(2.63％),肺腎陰虛1例(2.63％).髮熱18例(47.37％),胸痛10例(26.32％),咯血2例(5.26％),呼吸睏難1例(2.63％),咳嗽28例(73.68％),肺炎雙毬菌痰培養暘性3例(7.89％).結論 社區穫得性肺炎老年患者的髮熱、胸痛的臨床特徵併不明顯,肺炎雙毬菌痰培養暘性率低.在臨床上噹某些老年患者齣現原因不明癥狀的時候,應該仔細辨彆,提早進行相關檢查警惕社區穫得性肺炎的髮生.
목적 총결사구획득성폐염적상견증후이급노년환자적특정.방법 선취2009년10월지2010년10월학진적사구획득성폐염노년환자38례,대저사병례적림상자료진행회고성분석총결.결과 소유환자중폐기허증7례(18.42％),담습조폐증6례(15.79％),담어조폐증5례(13.16％),비기허증4례(10.53％),기음량허증4례(10.53％),폐비기허증3례(7.89％),신기허증3례(7.89％),폐신기허증3례(7.89％),폐음허증1례(2.63％),신음허증1례(2.63％),폐신음허1례(2.63％).발열18례(47.37％),흉통10례(26.32％),각혈2례(5.26％),호흡곤난1례(2.63％),해수28례(73.68％),폐염쌍구균담배양양성3례(7.89％).결론 사구획득성폐염노년환자적발열、흉통적림상특정병불명현,폐염쌍구균담배양양성솔저.재림상상당모사노년환자출현원인불명증상적시후,응해자세변별,제조진행상관검사경척사구획득성폐염적발생.
Objective To summarize the common syndromes and characteristics of community acquired pneumonia in elderly patients.Method 38 cases were diagnosed from October 2009 to October 2010 in the elderly patients as community-acquired pneumonia,the clinical data were retrospectively analyzed and summarized.Results Among all patients,7 cases of lung-qi deficiency (18.42％),pulmonary stagnation of phlegm syndrome in 6 cases (15.79％),phlegm and blood stasis obstructing lung in 5 cases (13.16％),spleen qi deficiency syndrome in 4 cases (10.53％),4 cases of Qi and yin deficiency syndrome (10.53％),lung spleen qi deficiency syndrome in 3 cases (7.89％),kidney-qi deficiency syndrome in 3 cases (7.89％),3 cases of lung qi deficiency syndrome (7.89％),1 case of deficiency of kidney yin deficiency syndrome (2.63％),1 eases (2.63％),lung and kidney in 1 case (2.63％).The onset of fever in 18 cases,the incidence was 47.37％; the appearance of chest pain in 10 cases,the incidence was 26.32％; onset of haemoptysis in 2 cases,the incidence was 5.26％;1 case appeared dyspnea,cough and incidence rate was 2.63％; in 28 cases,the incidence was 73.68％; pneumococcus sputum culture was positive in 3 cases,the positive rate was 7.89％.Gonclusion The fever,chest pain is not apparent as clinical features in community acquired pneumonia in elderly patients,the pneumococcus sputum culture positive rate decreased.When there is some unexplained symptoms in older patients without obvious causes,we should carefully distinguish the relevant examination,to early detect the occurrence of community acquired pneumonia.
