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为分析老年严重急性呼吸综合征(SARS)患者的临床特点、治疗和转归,以提高治愈率。对我院2003年5月6日至6月27日收治的41例老年SARS患者的临床资料进行分析,并与同期住院的非老年SARS患者进行对比。结果老年SARS患者以发热为首发症状,以中等度热为主,高热、畏寒、寒战的发生率明显低于非老年SARS患者(P<0.05);老年SARS患者血淋巴细胞降低的发生率及T淋巴细胞亚群的水平明显低于非老年SARS患者(P<0.05);老年SARS患者血清白蛋白明显低于非老年SARS患者(P<0.01);老年SARS患者肺部体征的阳性率高,肺部X线胸片表现双侧多发病变的发生率明显多于非老年SARS患者(P<0.01);老年SARS患者治疗中并发精神障碍、二重感染的发生率明显多于非老年SARS患者,老年SARS患者并存基础病和并发症的发生率明显高于非老年SARS患者(P<0.01);病死率老年SARS患者为24.4%,显著的高于非老年SARS患者的5.5%(P<0.01)。提示我院收治的老年SARS患者临床以发热为首发症状,高热的发生率低,肺部表现以双侧多发病变多见,细胞免疫功能减低,临床分型重型和极重型比例高,并存基础病、并发症数量多,治疗复杂困难,病死率高。
To analyze the clinical features, treatment and prognosis of elderly patients with severe acute respiratory syndrome (SARS) to improve the cure rate. The clinical data of 41 elderly patients with SARS who were admitted to our hospital from May 6 to June 27, 2003 were analyzed and compared with the non-elderly SARS patients hospitalized in the same period. Results The incidence of fever was the first symptom in elderly patients with SARS. The incidence of fever, chills and chills was significantly lower than that of non-elderly SARS patients (P <0.05). The incidence of hemophthalmia was lower in elderly patients with SARS, (P <0.05). Serum albumin in elderly patients with SARS was significantly lower than that in non-elderly SARS patients (P <0.01). The positive rate of lung signs in elderly patients with SARS was high, The incidence of bilateral multiple lesions in lung X-ray was significantly higher than that in non-elderly SARS patients (P <0.01). The incidence of double infection in elderly SARS patients was significantly higher than that in non-elderly SARS patients, The incidence of underlying diseases and complication in elderly patients with SARS was significantly higher than those in non-elderly SARS patients (P <0.01). The mortality rate was 24.4% in elderly SARS patients, significantly higher than 5.5% in non-elderly SARS patients (P <0.01) . Promptly admitted to our hospital in elderly patients with SARS fever as the first symptom of fever, the incidence of high fever, pulmonary manifestations of bilateral multiple lesions more common, cellular immune function decreased, the clinical classification of severe and very severe high proportion of coexisting underlying disease , The number of complications, the treatment of complex difficulties, high mortality.