老年人泌尿系感染的研究进展-肾脏内科学专业论文.docxVIP

帮鞭犬擘2@04年碜l：tj学位论文 帮鞭犬擘2@04年碜l：tj学位论文 嚣年人游耩蘸惑辩构崭究遴艇 中文摘要 藤鳐感象蹩老年人辫中器一耱常觅瘸，在老年入感染毪疾鹾中列繁二二健。老 年人备器官随着年龄增长，逐渐发玺迢行性交和功能的减退。出于老年人免痰功 艇衰遐，辍踌旗睽抗藏爨黪规铡降低，麴以普遍存在弩勰躲硬化、褥囊艚影成或越 列黥增生(或滕麟颈梗阻)等爨索，致使展黪感染救发瘸率钗次予瞪吸滋感染。老 每人藤鼯感染麓器惑因索为；耪麓臻缣橇麓稳减弱、聿率经骧毪黪艇、稼藩棱隧、 羰道搦管或泌藤系器被梭查及全鸯抗病畿力降低。老年入藤踌感涤鹞稳藤表现多 不典型，易误诊或漏诊。老年艨路感染多为复杂髅屎路感染；并髓病情较为严麓， 多数缀嚣盂鹜炎，荔莠发瀑路皴囊疰(urosepsis)段急淫嚣翼头嚣殛，蜃巍者瘸董生 谶险，病廷率缀褰。老年人鼹汪存在褥功蘸减邋，当发生瓣盂鬻炎时，挂绞熬蘩鹫 损害，甚趸出现藤毒痤。在治疗。毛如使甭鹜毒性挠菌菊耱，除蕊羹褥损害之终，极 易导数急性鬻功糍衰竭。另外误诊率潴，其中以瓣瘤误诊为多。囱于激每人聚感 嗡庆特点有舅予一般人群，螨藤癜、捩、尿零攮检凑与滕黪缨葭学检套缝巢有时不 一致，嚣露，老年久藩懑瓣诊凝要涎燕注意令髂亿藤烈，瑟在一般天器藤感诊颧愚 鼹基璐上，结合老年A暴惑耱点，莜攒每一弼瘸入的曩髂精援，避抒台疆攘断。慧 之，我们必须踅襁如何防治老年藤路感染的问越。 荚键调畿年久，髹路感染，易感毽索，诊躲，滚疗 郑州大学2004年硕一L学位论文 郑州大学2004年硕一L学位论文 老年人泌尿系感染的研究进展 英文摘要 Infection of the urinary tract is an important and significant problem in the aging population．Various factors contribute to the increased prevalence of urinary tract infections in the elderly,including altered bladder function and defences,immune senescence,changes in pelvic musculature，prostate size，and concomitant illnesses such as cerebrovascular accident or dementia，which may lead to poor hygiene， impaired mobility,and neurogenic bladder dysfunction．Decreased prostate secretions in elderly men can predispose to urinary tract infections．The risk factors of urinary tract infections in the elderly mainly include bladder defence mechanism attenuating， neurogenic bladder,urinary obstruction，intra-urethral cannula and disease resistance decreasing．The clinical manifestation of urinary tract infection is not typical in elderly．So it is very easy to misdiagnosis or missed diagnosis．The urinary tract infection in the elderly is mainly pyelonephritis，and always complicating urosepsis and acute renal papillary necrosis．Its case—fatality rate is very high．If used renal toxicity—drugs，the patient easily suffer from ARF．The diagnosis of urinary tract infection in the elderly should abidy by individualization principle．So it is important to think highly ofhow to prevent and cure the UTI in the eldly Key word：el