Sternon J
Service de Médecine Interne, Hôpital Erasme, Bruxelles.
Rev Med Brux. 1995 Jan-Feb;16(1):30, 33-6.
The main problems caused by acute bronchopneumopathy in the elderly patients are mentioned. The vulnerability of the elderly patient, the atypical clinical features, the risk of bacterial resistance and the relative frequency of aspiration pneumonia are stressed. The indications for hospitalization and the value of antipneumococcal vaccine, as well as the early takeover, at home, of some hospital antibiotherapies are described, and schemes of first intention antibiotherapy are presented.
文中提及了老年患者急性支气管肺炎所引发的主要问题。强调了老年患者的易损性、非典型临床特征、细菌耐药风险以及吸入性肺炎的相对发生率。描述了住院指征、抗肺炎球菌疫苗的价值,以及在家中尽早采用一些医院抗生素疗法的情况,并给出了初始抗生素治疗方案。