老年人肺炎,主要是支气管肺炎(小叶性肺炎),大多继发于流感或慢性支气管炎后。由于老年人免疫功能低下,发热、咳嗽、胸痛等临床表现不典型,部分病人常表现嗜睡,肺部不出现口罗音,血象不升高,易致漏诊。为了总结临床经验,指导基层医生对老年人肺炎早期确诊,合理治疗,我们对1989～1997年我院住院60岁以上老年人肺炎患者作一回顾性分 Elderly pneumonia, mainly bronchopneumonia (lobular pneumonia), mostly secondary to flu or chronic bronchitis. As the elderly immune dysfunction, fever, cough, chest pain and other clinical manifestations of atypical, some patients often show lethargy, pulmonary rashes do not appear, blood is not elevated, easy to cause missed diagnosis. In order to summarize the clinical experience and guide the grassroots doctors in the early diagnosis and rational treatment of pneumonia in the elderly, we retrospectively analyzed the pneumonia patients aged over 60 in our hospital from 1989 to 1997