摘要中国已经进入老年化社会，而老年人是罹患肺炎的高危人群。老年肺炎具有起病隐匿、进展迅速、合并症多、预后差、发病率和病死率高等特点，需要引起临床医师的重点关注，制定更为精细的诊治策略，最大程度地保证个体化治疗。为加强对老年肺炎的防治与管理，本共识参照国内外最新相关指南与共识，结合该研究领域的最新进展，以问答的方式阐述了17个临床诊断、治疗和预防的问题，提出了13条推荐意见，从老年肺炎的病因及发病机制、诊断、病情评估、治疗和预防等方面提出意见和建议，以期为防治老年肺炎，改善老年患者的生活质量，降低住院及病死率，促进健康老龄化提供参考。

abstractsChina is experiencing a demographic shift as its population ages. The elderly population becomes increasingly susceptible to pneumonia. Pneumonia in the elderly is characterized by its insidious onset, rapid progression, multiple comorbidities, poor prognosis, and high morbidity and mortality. Physicians need to pay attention to developing more comprehensive diagnostic evaluations and treatment strategies, and ensuring personalized care to the greatest extent. In order to improve the prevention and management of pneumonia in elderly, this consensus incorporates the latest guidelines and consensus from both domestic and international sources. The latest progress in this research field is also included. The document addresses 17 clinical issues in a question-and-answer format and provides 13 recommendations on the etiology, pathogenesis, clinical diagnosis, treatment, and prevention of pneumonia in older adults. It provides reference for the prevention and treatment of pneumonia in elderly, improving their quality of life, reducing hospitalization and mortality, and promoting healthy aging. The specific recommendations are as follows.