摘要
Abstract
Objective To investigate the clinical characteristic and correlative risk factor, as well as protect measure of the neurology gerontal patient with HAP. Methods According to the retrospective review and correlate statistical analysis on the 381 cases of neurology gerontal patients with HAP during January 2004 to december 2009 in our hospital. Results The rate of Cerebrovascular disease, dementia and Parkinson' s disease in elderly patients with HAP is high, while of which the significant clinical features is atypical. 78 cases out of 381 complicate HAP, with a infection rate of 20.5 ％. And 37 cases out of the infection group died, with mortality of 47.43 ％, while 64 cases of non- infection group died, with mortality of 21.10％. Based on the sputum culture, the pathogenic bacterium is mainly the Gram- negative Bacillus, the former 5 major pathogens of which is Pseudomonas aeruginosa, Klebsiella pneumoniae, Escherichia coli, Acinetobacter baumannii,Staphylococcus aureus, which exist antibiotic resistance to multiple antibiotic. Conclusions Neurology gerontal patients with HAP had atypical clinical manifestations, as well as high infection rate and mortality, we should control dangerous infection, monitor pathogens and pay attention to the choice of drugs and treatment strategies.关键词
老年人/医院获得性肺炎(HAP)/神经内科/危险因素Key words
Gerontal patient/ Hospital acquired pneumonia (HAP) /Department of Neurology, Risk factors分类
医药卫生
