Clinical analysis of 96 cases of pneumonia in the elderly.docVIP

 PAGE \* MERGEFORMAT 5 Clinical analysis of 96 cases of pneumonia in the elderly [Keywords:] elderly pneumonia, sputum culture, drug susceptibility test Pneumonia is the older of the common disease, its incidence with the aging of our population gradually increased. Clinically, often because of respiratory symptoms typical delay in diagnosis and effective treatment of lost time. Now 5 years admitted to our hospital 96 cases of elderly patients with pneumonia were retrospectively reviewed the clinical data analysis is as follows. 1 Subjects and methods April 2003 -2008 hospital ward in March of 96 patients hospitalized elderly pneumonia, aged 60 to 91 (mean 74 years, including 78 males (81.3%, female 18 cases (18.7%. All of the patients observed the following indicators: (1 General: gender, age, occupation, incentives, and smoking history, (2 clinical presentation and examination: symptoms, signs, blood, liver and kidney function, chest X ray or CT films, sputum culture + sensitivity test, ( 3 Treatment and outcome: anti-infectives and comprehensive treatment, and outcome of treatment, hospitalization and so on. on the above information is used retrospectively. 2 Results No obvious clinical manifestations of incentives 2.1 49 (51.0%, fever in 38 cases (39.6% and the low heat-based, non-respiratory symptoms of 51 patients (53.1%, no pulmonary signs in 29 cases (30.2%, on a consolidated basis of disease 79 cases (82.3%, while the combination of two or more diseases, 58 patients (60.4%, complications in 21 cases (21.9%. 2.2 Laboratory tests and special examinations (1 blood: WBC count increased in 25 cases (26.0%, increased neutrophils classification 63 cases (65.6%. (2 chest X ray or CT films: most of the changes was bronchial pneumonia, 75 cases ( 78.1% and interstitial pneumonia in 9 cases (9.4%, pleural effusion in 15 patients (15.6%, lung infection in 35 cases (36.5%. 2.3 The results of 96 cases sputum culture positive sputum culture ra