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目的 :了解老年人医院内获得性肺炎 (NP)的临床特征和病原学特点 ,以便指导临床选择有效抗生素。方法 :以 1997～ 1999年间 6 0例老年人NP为分析对象进行分析。结果 :老年人NP多有明确的诱发因素(85 % ) ;其临床表现多样 ,呼吸困难可作为一重要表现 (5 1.7% ) ;病原菌以绿脓杆菌和克雷伯杆菌最为多见(6 5 % )。结论 :常用头孢菌素不宜用于老年NP ,氟喹诺酮类可作为老年人NP经验治疗的首选药物。
Objective: To understand the clinical characteristics and etiological characteristics of acquired pneumonia (NP) in the elderly in order to guide the clinical selection of effective antibiotics. Methods: The data of 60 elderly NPs from 1997 to 1999 were analyzed. Results: Elderly NP more than a clear predisposing factor (85%); its clinical manifestations of diverse, dyspnea can be an important performance (5 1.7%); pathogenic bacteria Pseudomonas aeruginosa and Klebsiella most common %). Conclusion: Common cephalosporins should not be used in elderly NP, fluoroquinolones can be used as the preferred drug for elderly NP experience.