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老年人新型冠状病毒肺炎:临床特征、诊断与治疗策略

Coronavirus disease 2019 in the elderly: Clinical characteristics, diagnosis and treatment strategies.

作者信息

Li Yayong, Wang Yina

机构信息

Department of Emergency, Third Xiangya Hospital, Central South University, Changsha 410013.

Department of Geriatrics, Second Xiangya Hospital, Central South University, Changsha 410011, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2020 May 28;45(5):549-554. doi: 10.11817/j.issn.1672-7347.2020.200264.

Abstract

Many countries in the world have faced with coronavirus disease 2019 (COVID-19) epidemic since December 2019, while the proportion of elderly patients with COVID-19 in severe and death cases is relatively high. At present, China is in the rapid development stage of population aging, and the demand of the elderly for medical care, health care, nursing and life services far exceeds that of other people. Especially in the period of COVID-19, it is particularly urgent to summarize more experience and methods in time to reduce the infection rate, the incidence of critical illness, and the mortality rate. Therefore, this review combines the existing research results with clinic experience of diagnosis and treatment for senile infectious diseases, summarizes the clinical characteristics and puts forward the prevention strategies of elderly COVID-19 patients, which provide evidence for effective prevention and treatment of COVID-19 in elderly patients, improvement of cure rate, and reduction of severe incidence rate and mortality.

摘要

自2019年12月以来,世界上许多国家都面临新型冠状病毒肺炎(COVID-19)疫情,而COVID-19重症和死亡病例中老年患者的比例相对较高。目前,中国正处于人口老龄化快速发展阶段,老年人对医疗、保健、护理和生活服务的需求远远超过其他人群。特别是在COVID-19期间,及时总结更多经验和方法以降低感染率、危重症发病率和死亡率尤为迫切。因此,本综述结合老年传染病诊治的现有研究成果和临床经验,总结临床特点并提出老年COVID-19患者的预防策略,为老年患者有效防治COVID-19、提高治愈率、降低重症发病率和死亡率提供依据。

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