83例急诊科老年人肺部感染的特点和预后分析
Characteristics and prognosis of pulmonary infection in 83 elderly patients in emergency department
夏文菁 1闫中峰1
作者信息
- 1. 航空总医院 急诊内科,北京 100012
- 折叠
摘要
目的 研究83例急诊科老年人肺部感染的特点以及预后分析.方法 通过对本院2013年1月～2015年12月航空总医院急诊科的83位肺部感染老年人资料进行回顾性分析.结果 56例(67.46%)患者血液中中性粒细胞数量相比较正常参考值升高,69例(83.13%)中性粒细胞-淋巴细胞比值上升,74例患者C-反应蛋白升高(89.16%),C-反应蛋白检测效果和中性粒细胞之间比较差异有统计学意义(P＜0.05).61例(73.49%)合并其他疾病.同时单一抗生素整体治疗效果治疗效果较差. 结论 老年人肺部感染早期症状易忽视,并且常合并其他疾病.C-反应蛋白、中性粒-淋巴细胞比值联合肺部影像学能够较为准确的反应老年人肺部感染.早发现早治疗,联合使用抗生素可以提高预后疗效.
Abstract
Objective To study the characteristics and prognostic analysis of 83 cases of pulmonary infection in elderly patients in emergency department.Methods Thirty-eight elderly patients with pulmonary infection from January 2013 to December 2015 in our hospital were retrospectively analyzed.Results The number of neutrophils increased in 56 patients(67.46%), the neutrophil-lymphocyte ratio increased in 69 patients(83.13%), and C-reactive protein increased in 74 patients increased(89.16 %).There was significant difference between C-reactive protein detection and neutrophil count(P<0.05).61 cases(73.49%) were complicated with other diseases.While the effect of a single antibiotic treatment is less effective.Conclusion The early symptoms of pulmonary infection in the elderly are easy to ignore, and often associated with other diseases.C-reactive protein, neutrophil-lymphocyte ratio combined with lung imaging can be more accurate response to the elderly pulmonary infection.Early detection and early treatment, combined use of antibiotics can improve the prognosis.
关键词
急诊科/肺部感染/诊断/预后分析Key words
emergency department/pulmonary infection/diagnosis/prognosis引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据