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目的探讨社区获得性肺炎并发(CAP)并发急性脑病综合症临床特点,为临床诊治提供依据。方法将30例老年CAP合并急性脑病综合症患者作为研究组,另选取单发老年CAP患者30例作为对照组,统计分析两组患者的临床资料。结果果两组患者均有咳嗽、咳痰、喘憋等呼吸道症状,发生率对比无显著性差异(P>0.05);失眠、纳差、脑血管意外病史和心律失常危险因素发生率比较有差异(P<0.05)。结论老年CAP并发纳差、失眠、既往脑血管病史、心律失常时提示易发急性脑病综合症,需注意观察有无精神症状。
Objective To investigate the clinical characteristics of community-acquired pneumonia complicated with acute encephalopathy syndrome (CAP) and provide evidence for clinical diagnosis and treatment. Methods Thirty elderly CAP patients with acute encephalopathy syndrome were selected as the study group. Thirty patients with single elderly CAP were selected as the control group, and the clinical data of two groups were statistically analyzed. Results The two groups of patients had symptoms of respiratory tract such as cough, expectoration and wheezing without significant difference (P> 0.05). The incidence of insomnia, anorexia, cerebrovascular accident and arrhythmia risk factors were significantly different (P <0.05). Conclusions Elderly CAP complicated with poor appetite, insomnia, previous history of cerebrovascular disease, arrhythmia prompted the development of acute encephalopathy syndrome, the need to observe the presence or absence of psychiatric symptoms.