CAJ | 학술논문

目的：探讨老年支气管哮喘合并肺炎的临床诊治。方法选择112例老年支气管哮喘合并肺炎的患者，在针对哮喘进行治疗的同时，行痰培养，确定有无真菌感染和病原菌的类型，正确选择抗菌药物。结果112例患者中，86例为革兰阳性菌感染，包括芽胞杆菌属、李斯特菌属、棒状杆菌属和丹毒丝菌属。治疗首选青霉素，并加氨基糖甙类联合抗炎，疗程2～3周。青霉素过敏者可用四环素和氯霉素。经过治疗71例治愈，37例好转，4例未愈，治愈好转率为96.43％。结论老年支气管哮喘合并肺炎患者多伴有免疫功能降低及消耗性疾病，长时间应用糖皮质激素、抗生素等药物时，应限制治疗其它疾病药物的摄入量。
목적：탐토노년지기관효천합병폐염적림상진치。방법선택112례노년지기관효천합병폐염적환자，재침대효천진행치료적동시，행담배양，학정유무진균감염화병원균적류형，정학선택항균약물。결과112례환자중，86례위혁란양성균감염，포괄아포간균속、리사특균속、봉상간균속화단독사균속。치료수선청매소，병가안기당대류연합항염，료정2～3주。청매소과민자가용사배소화록매소。경과치료71례치유，37례호전，4례미유，치유호전솔위96.43％。결론노년지기관효천합병폐염환자다반유면역공능강저급소모성질병，장시간응용당피질격소、항생소등약물시，응한제치료기타질병약물적섭입량。
Objective To study of clinical diagnosis and treatment of elderly bronchial asthma patients with pneumonia .Methods One hundred and twelve elderly patients with bronchial asthma complicated with pulmonary in -fection were treated for asthma .Sputum culture were performed to find fungal infections .The type of pathogenic bac-teria were determined to correctly choose antibiotics .Results In 112 patients, most had infections due to gram posi-tive bacteria, including spore bacillus , Lester bacteria, Corynebacterium and erysipelothrix .The patients were treated with preferred penicillin combined with aminoglycosides as an anti-inflammatory therapy , the period of treatment was 2~3 weeks.For penicillin hypersensitive patients , tetracycline and chloramphenicol were available .After treatment, 71 cases were cured , 37 cases improved , 4 cases were healed , the healing rate was 96.43%.Conclusion The eld-erly patients with bronchial asthma complicated with pneumonia have the history of long time use of corticosteroids , antibiotics and other drugs , coupled with reduced immune function or wasting disease , so in the treatment for these patients diseases the drug intake of treating other should be limieted .