Journal of Capital Medical University ›› 2003, Vol. 24 ›› Issue (4): 380-384.

• 论著·临床研究 • Previous Articles     Next Articles

Clinical Characteristics and Therapeutic Analysis of 41 Old-Aged SARS Patients

Feng Ming, Zhang Jian, Wang Xiangping, Wang Lihong, Liu Youqin, Wei Jiaping, Wang Yuqin, Zhang Taichang, Jia Qiang, Wang Li, Nie Xiuhong, Yang Qiang, Li Zongxin, Wang Kejie, Xu Datian, Li Kuncheng, Yin Jianguo, Han Mei, Xu Ling, Ding Xiujuan   

  1. Xuanwu Hospital, Capital University of Medical Sciences
  • Received:2003-07-23 Revised:1900-01-01 Online:2003-10-15 Published:2003-10-15

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Abstract: The objective was to analyze the medical records,clinical characteristics,treatment and outcomes old-aged SARS patients,and try to improve the diagnosis and curative ratio of SARS.Clinical records of41old-aged SARS patients who were admitted to Xuanwu Hospital from May 6to June 27 in the year of 2003 were analyzed,and the data obtained were compared with those of 164 non-aged SARS patients who were admitted to the same hospital in the same period.Results:From the observation of the old-aged SARS patients,they were found more frequently having moderate fever(P<0.05),with the main manifestations of SARS,such as high fever,fear of coldness and chills,occurred less commonly than those of the non-aged SARSpatients(P<0.05).The incidence ratio of lymphopenia and the level of Tlymphocyte subgroups were obviously lower than the non-aged group(P<0.05).The serum albumin level of old-aged SARS patients was also evidently lower than the non-aged group(P<0.01).Chest X-ray showed that the bilateral multi-pathological changes occurredmore frequently than those in the non-aged group(P<0.01).The simultaneously occurred underlying diseases and complications occurredmore frequently than those of the non-aged SARS patients(P<0.01).Complicated mental disturbance and dual infection were more commonin the old-aged SARS patients than the non-aged SARS patients(P<0.01).The death rate of the old-aged SARS patients was24.4% which was remarkably higher than that of the non-aged SARS patients(5.5%,P<0.01).Conclusion:The old-aged SARSpatients admitted to Xuanwu Hospital showed a lower occurrance of high fever which is one of the main symptoms among SARS patients;They usually expressed multi-pathological lesions bilaterally in their lunge and a decrease of cellular immunity.They also showed a higher distribution in heary severe and extremely severe SARS.More simultaneously occurred underlying disease and complications were found in the old-aged SARS patients,which means more difficulties in the treatment of SARS and higher mortality.

Key words: SARS, old-aged, clinical features, treatment

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