【摘要】 目的　研究老年严重急性呼吸综合征 (SARS)患者的临床特点 ,以期提高老年人SARS的诊治水平。　方法　对 66例老年SARS患者的年龄分布、基础病、主要症状、临床特征、用药特点、病程及病死率进行回顾性分析 ,并与同期收治的 2 3 8例非老年SARS患者进行比较。　结果　老年SARS患者占同期 3 0 4例SARS患者的 2 1 7%。其基础病发生率 (87 9% )、病程 (2 8 1± 13 6)d、呼吸困难的发生率 (54 5% )、重症的发生率 (53 3 % )、病死率 (2 2 7% )均高于非老年SARS患者 (均为P<0 0 1)。　结论　老年SARS患者并存慢性基础疾病是其病重率和病死率高的主要原因 ,积极防治其基础病 ,及时正确地处理并发症可改善其预后更多还原

【Abstract】 ObjectiveTo elucidate the clinical characteristics and the outcome of SARS in elderly pat ients. Methods Clinical data of 66 elderly patients(≥60 years) with SARS were analysed and compared with that of 238 younger adult SARS patients(18-59 years) in the sa me period. Results Sixty-six out of 304 patients(21 7%) with SARS were more than 60 years. Th e mortality rate of SARS in elderly patients was 22 7%. Underlying disease,lon ger course of disease,dyspneic respiration,severe type of SARS,and higher mor tality were more prevalent in elderly patients than those in the younger adult S ARS patients(P<0 01 and P<0 001). Conclusions The prevalence of underlying disease and clinical complications in elderly pat ients might be responsible for the severe type and the higher mortality in these patients with SARS.更多还原