Sims R V
University of Pennsylvania, Philadelphia.
Emerg Med Clin North Am. 1990 May;8(2):207-20.
Bacterial pneumonia is among the most frequent diagnoses that bring elderly patients to the Emergency Department. The morbidity and mortality subsequent to these infections is very high among these individuals, and presenting symptoms and signs may be subtle. Gram-negative bacilli, H. influenzae, and mixed organisms more commonly cause lower respiratory tract infections in this population. The diagnosis and management of nursing home and community-acquired pneumonias are reviewed, as are important preventative strategies.
细菌性肺炎是导致老年患者前往急诊科就诊的最常见诊断之一。在这些患者中，这些感染后的发病率和死亡率非常高，而且呈现出的症状和体征可能不明显。革兰氏阴性杆菌、流感嗜血杆菌及混合菌更常引起该人群的下呼吸道感染。本文综述了疗养院获得性肺炎和社区获得性肺炎的诊断与管理，以及重要的预防策略。
