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目的:探讨老年肺炎临床特点,以便提高其诊治水平。方法:对73例老年肺炎的临床表现及治疗转归进行回顾性分析。结果:老年肺炎临床表现不典型;痰培养细菌谱中病原菌依次为:铜绿假单胞菌8株(18.0%),敏感的药物为美罗培南、头孢吡肟及哌拉西林/他唑巴坦;葡萄球菌属7株(16.0%),敏感的药物为万古霉素;克雷伯菌属12株(27.0%),大肠埃希氏菌8株(18.0%),对大肠埃希氏菌及克雷伯菌敏感药物为哌拉西林/他唑巴坦和头孢哌酮/舒巴坦;结论:老年肺炎具有独特临床特点;应根据痰培养合理选择抗生素,以防止药物耐药率上升。
Objective: To investigate the clinical features of elderly pneumonia in order to improve its diagnosis and treatment. Methods: The clinical manifestations and treatment outcome of 73 elderly patients with pneumonia were retrospectively analyzed. Results: The clinical manifestations of elderly pneumonia were not typical. The pathogenic bacteria in sputum culture bacteria spectrum were: Pseudomonas aeruginosa 8 strains (18.0%), the sensitive drugs were meropenem, cefepime and piperacillin / tazobactam; Seven strains of Staphylococcus (16.0%) were sensitive to vancomycin, 12 strains (27.0%) of Klebsiella and 8 strains (18.0%) of Escherichia coli were positive for Escherichia coli Leptospira sensitive drugs piperacillin / tazobactam and cefoperazone / sulbactam; Conclusion: Elderly pneumonia has a unique clinical features; should be based on sputum culture to choose a reasonable antibiotics to prevent drug resistance rates.