80岁以上老年肺炎82例临床分析

摘要

目的 探讨80岁以上老年肺炎的临床特点.方法 分析82例80岁以上老年肺炎的临床资料.结果 死亡33例(40.2%).对82例患者发现卧床、休克、营养不良和APACHEⅡ和PSI评分较高为影响80岁以上老年人肺炎病死率的独立危险因素.结论 80岁以上老年肺炎患者临床表现症状、体征不典型,肺外症状多,营养不良的患者常见,卧床、休克、营养不良和APACHEⅡ和PSI评分较高为影响80岁以上老年人肺炎病死率的独立危险因素.%Objective To explore the clinical features of the patients with pneumonia over 80-year-old. Methods A retrospective study was carried out to assess the clinical characteristics of 82 patients with pneumonia over 80-year-old. The logistic regression model was used for analyzing the risk factors of mortality. Results A total of 82 patients were included. 33(40. 2% ) patients died. There were three independent risk factors: previous bed confinement, shock, malnutrition, high PSI score and APACHE Q score. Conclusions We conclude that clinical characteristics of pneumonia in the oldest old are untypical and the incidence of malnutrition is very high. Previous bed confinement, shock, malnutrition, high PSI score and high APACHE II score are independent risk factors associated with greater mortality.