| 摘要: |
| ［摘要］ 目的 探讨老年支气管哮喘合并肺炎的临床诊治。方法 选择112例老年支气管哮喘合并肺炎的患者，在针对哮喘进行治疗的同时，行痰培养，确定有无真菌感染和病原菌的类型，正确选择抗菌药物。结果 112例患者中，86例为革兰阳性菌感染，包括芽胞杆菌属、李斯特菌属、棒状杆菌属和丹毒丝菌属。治疗首选青霉素，并加氨基糖甙类联合抗炎，疗程2～3周。青霉素过敏者可用四环素和氯霉素。经过治疗71例治愈，37例好转，4例未愈，治愈好转率为96.43%。结论 老年支气管哮喘合并肺炎患者多伴有免疫功能降低及消耗性疾病，长时间应用糖皮质激素、抗生素等药物时，应限制治疗其它疾病药物的摄入量。 |
| 关键词: 支气管哮喘 肺炎 治疗效果 临床分析 |
| DOI：10.3969/j.issn.1674-3806.2014.11.09 |
| 分类号:R 56 |
| 基金项目: |
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| Analysis of the treatment of bronchial asthma complicated with pneumonia |
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MENG Jian-feng，LI Chao-qian
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Department of Respiratory，the Second People′s Hospital of Guilin, Guangxi 541001, China
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| Abstract: |
| ［Abstract］ Objective To study of clinical diagnosis and treatment of elderly bronchial asthma patients with pneumonia.Methods One hundred and twelve elderly patients with bronchial asthma complicated with pulmonary infection were treated for asthma. Sputum culture were performed to find fungal infections. The type of pathogenic bacteria were determined to correctly choose antibiotics.Results In 112 patients, most had infections due to gram positive bacteria, including spore bacillus, Lester bacteria, Corynebacterium and erysipelothrix. The patients were treated with preferred penicillin combined with aminoglycosides as an anti-inflammatory therapy, the period of treatment was 2～3 weeks. For penicillin hypersensitive patients, tetracycline and chloramphenicol were available. After treatment, 71 cases were cured, 37 cases improved, 4 cases were healed, the healing rate was 96.43%.Conclusion The elderly patients with bronchial asthma complicated with pneumonia have the history of long time use of corticosteroids, antibiotics and other drugs, coupled with reduced immune function or wasting disease, so in the treatment for these patients diseases the drug intake of treating other should be limieted. |
| Key words: Bronchial asthma Pneumonia Treatment efficacy Clinical analysis |
