对老年新型冠状病毒肺炎患者临床特征的分析  

Analysis of clinical characteristics of elderly patients with COVID-19

作　　者：胡利萍[1] 刘家盛[2] 努力比亚·阿不都克尤木[1] HU Liping;LIU Jiasheng;NULIBIYA·Abudukeyoumu(Infectious Diseases Center,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000;Department of Gastrointestinal Surgery,People&apos's Hospital of Wuhan Unive rsity,Wuhan 430060)

机构地区：[1]新疆医科大学第一附属医院感染性疾病中心,新疆乌鲁木齐830000 [2]武汉大学人民医院东院胃肠外科,湖北武汉430060

出　　处：《当代医药论丛》2022年第3期60-63,共4页

基　　金：新疆维吾尔自治区自然科学基金,项目编号:2015211C048。

摘　　要：目的:分析老年新型冠状病毒肺炎(COVID-19)患者的临床特征。方法:选取58例老年COVID-19患者作为研究对象。对这些患者的流行病学特征、临床症状特征、影像学及实验室检查特征进行分析。结果:1)在58例老年COVID-19患者中,有女性患者29例,男性患者29例。这些患者多合并有其他基础疾病。2)在这些患者中,有48例患者存在发热的症状,有47例患者存在咳嗽的症状。3)这些患者的血氧饱和度、凝血酶原时间、血乳酸、血清D-二聚体、新型冠状病毒IgG、新型冠状病毒IgM、C反应蛋白、降钙素原、血尿素氮的水平普遍存在异常,其中危重型患者的异常情况更为明显。4)进行胸部X线检查或CT检查的结果显示,这些患者多存在双肺多发斑片状、团片状磨玻璃密度影。结论:老年男性和老年女性在COVID-19易感性方面无明显差异。老年COVID-19患者多合并有其他基础疾病,其影像学检查图像中多存在双肺多发斑片状、团片状磨玻璃密度影,其多存在发热的、咳嗽等症状,其血氧饱和度、凝血酶原时间、血乳酸、血清D-二聚体、新型冠状病毒IgG、新型冠状病毒IgM、C反应蛋白、降钙素原、血尿素氮的水平普遍存在异常,且其中危重型患者的异常情况更为明显。Objective:To analyze the clinical characteristics of elderly patients with COVID-19.Methods:58 elderly patients with COVID-19 were selected as the study subjects.The epidemiological characteristics,clinical symptoms,imaging and laboratory characteristics of these patients were analyzed.Results:1)Of the 58 elderly patients with COVID-19,there were 29 female patients and 29 male patients.Most of these patients had other underlying diseases.2)Among these patients,48 patients had fever and 47 patients had cough.3)Abnormal blood oxygen saturation,prothrombin time,blood lactic acid,serum D-dimer,Novel coronavirusIgG,Novel coronavirusIgM,C-reactive protein,procalcitonin,and blood urea nitrogen levels were common in these patients,especially in critically ill patients.4)Chest X-ray examination or CT examination results showed that these patients mostly had multiple patchy and patchy ground glass density shadows in both lungs.Conclusions:There is no significant difference in COVID-19 susceptibility between older men and older women.Elderly COVID-19 patients are mostly complicated with other underlying diseases,and their imaging images are mostly characterized by multiple patchy and patchy ground glass density shadows in both lungs,as well as fever,cough and other symptoms.Abnormal levels of blood oxygen saturation,prothrombin time,blood lactic acid,serum D-dimer,Novel coronavirusIgG,Novel coronavirusIgM,C-reactive protein,procalcitonin and blood urea nitrogen were found in all patients,especially in critically ill patients.

关 键 词：新型冠状病毒肺炎 老年 临床特征 

分 类 号：R563.1[医药卫生—呼吸系统]