国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2013年
16期
1201-1204
,共4页
刘萍%张雅娟%庄伟荣%高天霖%戴芒礼
劉萍%張雅娟%莊偉榮%高天霖%戴芒禮
류평%장아연%장위영%고천림%대망례
吸入性肺炎%临床特征%病原学
吸入性肺炎%臨床特徵%病原學
흡입성폐염%림상특정%병원학
Aspiration pneumonia%Clinical feature%Etiology
目的 分析82例老年患者吸入性肺炎的临床特征及病原学特点.方法 收集2010年5月至2011年12月期间入住我院呼吸科、神经科、康复科的82例老年吸入性肺炎的临床资料,统计并分析其临床特点及病原学结果.结果 老年吸入性肺炎患者均有基础疾病及易感因素,临床表现不典型,共检出病原菌127株,革兰阴性杆菌82株(64.6％),革兰阳性球菌32株(25.2％),真菌13株(10.2％).混合感染33例,占40.2％；二重感染14例,占17.1％.结论 提高对老年吸入性肺炎的诊断率,根据其病原学特点合理使用抗菌药物,重视预防老年患者吸入性肺炎的发生具有重要意义.
目的 分析82例老年患者吸入性肺炎的臨床特徵及病原學特點.方法 收集2010年5月至2011年12月期間入住我院呼吸科、神經科、康複科的82例老年吸入性肺炎的臨床資料,統計併分析其臨床特點及病原學結果.結果 老年吸入性肺炎患者均有基礎疾病及易感因素,臨床錶現不典型,共檢齣病原菌127株,革蘭陰性桿菌82株(64.6％),革蘭暘性毬菌32株(25.2％),真菌13株(10.2％).混閤感染33例,佔40.2％；二重感染14例,佔17.1％.結論 提高對老年吸入性肺炎的診斷率,根據其病原學特點閤理使用抗菌藥物,重視預防老年患者吸入性肺炎的髮生具有重要意義.
목적 분석82례노년환자흡입성폐염적림상특정급병원학특점.방법 수집2010년5월지2011년12월기간입주아원호흡과、신경과、강복과적82례노년흡입성폐염적림상자료,통계병분석기림상특점급병원학결과.결과 노년흡입성폐염환자균유기출질병급역감인소,림상표현불전형,공검출병원균127주,혁란음성간균82주(64.6％),혁란양성구균32주(25.2％),진균13주(10.2％).혼합감염33례,점40.2％；이중감염14례,점17.1％.결론 제고대노년흡입성폐염적진단솔,근거기병원학특점합리사용항균약물,중시예방노년환자흡입성폐염적발생구유중요의의.
Objective To analyze clinical features and etiology of 82 cases of aspiration pneumonia.Methods The data of 82 cases of aspiration pneumonia in elderly patients in our department of respiratory medicine,department of neurology,and department of rehabilitation from May 2010 to December 2011 were collected.The clinical features and etiological results were analyzed.Results All the elderly patients with aspiration pneumonia had underlying diseases and susceptible factors,and their clinical signs and symptoms were not typical.127 pathogens were isolated.There were 82 strains of gram-negative bacilli (64.6％),32 strains of gram-positive cocci (25.2％),and 13 strains of fungi (10.2％).33 cases (40.2 ％) were with polyinfections,and 14 cases (17.1％) were with double infections.Conclusions It is of great importance that we raise the diagnosis rate of aspiration pneumonia in elderly patients,make rational use of antibiotic according to the etiological characteristics,and put emphasis on vigorous precautions.
