Study on common symptoms and characteristics of community acquired pneumonia in elderly patients

Abstract

Objective To summarize the common syndromes and characteristics of community acquired pneumonia in elderly patients.Method 38 cases were diagnosed from October 2009 to October 2010 in the elderly patients as community-acquired pneumonia,the clinical data were retrospectively analyzed and summarized.Results Among all patients,7 cases of lung-qi deficiency (18.42％),pulmonary stagnation of phlegm syndrome in 6 cases (15.79％),phlegm and blood stasis obstructing lung in 5 cases (13.16％),spleen qi deficiency syndrome in 4 cases (10.53％),4 cases of Qi and yin deficiency syndrome (10.53％),lung spleen qi deficiency syndrome in 3 cases (7.89％),kidney-qi deficiency syndrome in 3 cases (7.89％),3 cases of lung qi deficiency syndrome (7.89％),1 case of deficiency of kidney yin deficiency syndrome (2.63％),1 eases (2.63％),lung and kidney in 1 case (2.63％).The onset of fever in 18 cases,the incidence was 47.37％; the appearance of chest pain in 10 cases,the incidence was 26.32％; onset of haemoptysis in 2 cases,the incidence was 5.26％;1 case appeared dyspnea,cough and incidence rate was 2.63％; in 28 cases,the incidence was 73.68％; pneumococcus sputum culture was positive in 3 cases,the positive rate was 7.89％.Gonclusion The fever,chest pain is not apparent as clinical features in community acquired pneumonia in elderly patients,the pneumococcus sputum culture positive rate decreased.When there is some unexplained symptoms in older patients without obvious causes,we should carefully distinguish the relevant examination,to early detect the occurrence of community acquired pneumonia. Key words: Community acquired pneumonia; Syndrome; Elderly patients; Characteristics