40例老年SARS临床分析

目的　探索老年严重急性呼吸综合征 (SARS)的临床特点与转归。方法 通过老年组与中青年组对照分析临床特点 ;老年死亡组与痊愈组对照分析转归特点。结果 老年组 :中低热 ,合并心脑血管疾病多见 (P <0 .0 1) ;高热 ,寒颤 ,全身酸痛 ,腹泻 ,食欲减退少见 (P <0 .0 5 )。死亡组PaO₂ <70mmHg或PaO₂ <50mmHg多见 (P <0 .0 1) ,腹泻较多 (P <0 .0 5 )。 结论 老年SARS的发热多为中低程度 ,伴有较少的全身中毒症状 ;血氧分压明显降低和腹泻对死亡转归影响极大。

Clinical ananlysis of 40 cases with SARS among elderly patients

Objective To determine the clinical characteristics and outcomes of the elderly patients with SARS.Methods Analyzed the data of elderly patients with SARS and compared with that of control group young and ltlt patients the youthful group.The dats was compared between the cured group and died group for analysis the characteristics of outcome of SARS.Results Among the elderly patients with SARS;low or middle fever,basal disease of cardiovascular were seen often( P <0.01);high fever,chills,pantalgia/myalgia,diarrhea.hypodynamia were seen rarely( P <0.05),PaO_2<50mmHg( P < 0.01), diarrhea( P <0.05)were seen often in the died group.Conclusion In the elderly patients with SARS,low or middle fever is common and combined with less systemic poisoning symptoms.Obviously decline of PaO_2,diarrhea were the most important comtribation factors on for die.