老年医学与保健2020年第26卷第5期Geriatr Health Care,2020,Vol.26.No.5
·752·老年新型冠状病毒肺炎临床特点分析
张晓雨1，吴海兵2，凌云3，李微霞3，李强1，陈良1
龙卷风走廊1.复旦大学附属公共卫生临床中心肝病科，上海市公共卫生临床中心肝病科，上海201508；强的多音字组词
2.复旦大学附属公共卫生临床中心神经外科，上海市公共卫生临床中心神经外科，上海201508；
3.复旦大学附属公共卫生临床中心感染科，上海市公共卫生临床中心感染科，上海201508
形容烟花的句子[摘要]目的了解老年新型冠状病毒肺炎患者的临床特点，为新冠肺炎疫情防治提供依据。方法收集2020年1月
20日-2020年3月8日出院的新型冠状病毒肺炎（新冠肺炎）患者的临床资料，采用回顾性研究，比较出院老年患者新冠肺炎（老年组）与非老年患者新冠肺炎（非老年组）的临床资料差异，计数资料采用Person 卡方检验或Fisher 确切概率法，计量资料采用检验或Wilcoxon 秩和检验进行分析检验。结果共纳入307例新冠肺炎病例，老年患者100例，占比32.6%，非老年患者207例，占比67.4%。老年组仍以普通型肺炎95例（95%）为主，以发热78例（78%）为典
型症状，与非老年组差异无统计学意义（>0.05）
。老年组肺炎累及肺叶数为5.00(2.25~5.00)，合并高血压35例（35%），合并糖尿病19例（19%），心血管疾病16例（16%），均高于非老年组（<0.05）
。老年组有纳差症状15例（15%），高于非老年组（<0.05）
；老年组有鼻塞流涕1例（1%），咳嗽症状40例（40%），
均低于非老年组<0.05）。老年组外周血血红蛋白水平（130.17±12.69）g/L 、白蛋白水平（38.75±3.52）g/L 、前白蛋白水平（131.19±56.78）
mg/L 、淋巴细胞计数（1.05±0.41）×109/L 、
双鱼女双子男CD4-T 淋巴细胞计数（456.27±237.41）
cell/L ，均低于非老年组（<0.05）；外周血白细胞比率（68.02±10.52）%，肌酸激酶水平93.00(63.2
5~149.25)U/L ，乳酸脱氢酶水平（265.56±84.84）U/L ，D-二聚体水平0.57(0.40~0.99)mg/L ，高于非老年组（<0.05）。老年组轻症病例0例（0%），低于非老年组（<0.05）
；老年组发病时重症和危重症5例（5%），病程中发展成重症和危重症6例（6%），住院天数（18.02±7.1）d ，均高于非老年组（<0.05）
。结论老年新冠肺炎患者非典型临床症状较明显，实验室和影像学检查差异显著，且病程中重症和危重症率更高。
芙蓉花的诗句设计概论论文[关键词]老年；新型冠状病毒肺炎（COVID-19）；新型冠状病毒（SARS-CoV-2）；临床特点
Analysis of clinical characteristics of elderly patients with novel coronavirus pneumonia
Zhang Xiaoyu 1,Wu Haibing 2,Ling Yun 3,Li Weixia 3,Li Qiang 1,Chen Liang 1
1.Department of Liver Dia,Public Health Clinical Center of Shanghai City,Fudan University,Shanghai;
2.Department of Neur-osurgery,Public Health Clinical Center of Shanghai City,Fudan University,Shanghai,201508;
3.Department of Infectious Dia,Public Health Clinical Center of Shanghai City,Fudan University,Shanghai,201508,P.R.China平凡心
*Corresponding author:Chen Liang,E-mail:*******************
[ABSTRACT]Objective To understand the clinical characteristics of novel coronavirus pneumonia (COVID-19)in the
elderly and to provide evidence for the prevention and treatment of COVID-19.Methods The clinical data of COVID-19pa-tients admitted to our hospital from January 20,2020to March 8,2020were collected.A retrospective study was ud to compare the clinical data of discharged elderly COVID-19patients (elderly group)and non-elderly COVID-19patients (non-elderly group).The counting data were analyzed by Person Chi square test or Fisher exact probability method,and the me-asurement data were analyzed by test or Wilcoxon rank sum test.Results A total of 307cas with COVID-19were included,including 100elderly patients (32.6%)and 207non-elderly patients (67.4%).In the elderly group,common pneumonia (95cas,accounting for 95%)was still the main symptoms,and fever (78cas,accounting for 78%)was typical symptoms,which were not statistically different from the non-elderly group (>0.05).In the elderly group,the number of pulmonary lobes involved was 5.00(
2.25-5.00);35cas with hypertension,accounting for 35%;19cas with diabetes mellitus,ac-counting for 19%;16cas with cardiovascular dia,accounting for 16%,which were significantly higher than tho in the non-elderly group (<0.05).There were 15cas of anorexia symptom in the elderly group,accounting for 15%,which was significantly higher than that in the non-elderly group (<0.05).There were one ca of nasal congestion (1%)and 40cas of cough (40%)in the elderly group,which were less than tho in the non-elderly group (<0.05).In the elderly group,the peripheral blood hemoglobin level was (130.17±12.69)g/L,the albumin level was (38.75±3.52)g/L,the pre-albumin level was (131.19±56.78)mg/L,the lymphocyte count was (1.05±0.41)×109/L,and the CD4-T lymphocyte
count was (456.27±237.41)cell/L,which were significantly
lower than tho in the non-elderly group (<0.05).In the el-大型活动
通信作者：陈良，电子信箱：*******************
