| Objective:our hospital nearly a decade older patients with severe community-acquired pneumonia clinical data, reviewed in our hospital of severe community-acquired pneumonia clinical features and prognostic factors of influence, in order to further improve the clinical Provide the reference treatment. Methods:our hospital in January 2000-2010 on January 60 over the age of patients with severe community-acquired pneumonia in 117 cases (excluding patients with malignant tumors of pneumonia), according to data recorded the patient clinical history information, vital signs, The total length of hospital stay, ICU stay the case, past history of the disease, and surgery; and records of early onset of clinical symptoms, laboratory tests after admission and imaging; retrospective analysis of clinical data, using descriptive research method The general case of the clinical data collected for analysis. Multivariate logistic regression using the method of analysis of elderly patients with basic information on SCAP comparison meaningful factors into circulation. Results The comprehensive treatment measures (including anti-infection, secondary respiratory therapy immunotherapy, supportive care, and sputum drainage, etc.), one of the 58 patients with good prognosis (better),59 patients with poor prognosis (death, including after treatment without Better to give up treatment after discharge by telephone follow-up of dead patients). logistic regression showed that among older people with severe community acquired pneumonia prognostic factors for the artificial airway, there is underlying disease, multiple organ failure, respiratory acidosis, hypoproteinemia, hyponatremia, age. Conclusion:should pay attention to the impact of risk factors on the prognosis of the dynamic observation of the targets for clinical prevention and treatment of reference, timely and correct treatment, to improve the patient's condition and reduce mortality and improve the treatment success rate. |
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