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[1]梁菁菁,李娜,唐敏,等.老年新型冠状病毒肺炎患者预后危险因素分析[J].医学研究与战创伤救治(原医学研究生学报),2021,23(04):407-409.[doi:10.3969/j.issn.1672-271X.2021.04.015]
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老年新型冠状病毒肺炎患者预后危险因素分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第23卷
期数:
2021年04期
页码:
407-409
栏目:
出版日期:
2021-08-10

文章信息/Info

Title:
-
作者:
梁菁菁; 李娜; 唐敏; 王霄; 王强; 刘炯; 洪原城; 文吉秋; 何松清
作者单位：210002南京，东部战区总医院（原南京军区南京总医院）内分泌科（梁菁菁），消化内科（刘炯），肾内科（文吉秋），心内科（何松清）；330002常州，解放军联勤保障部队第九○四医院重症医学科（李娜）；214044 无锡，解放军联勤保障部队第九○四医院呼吸内科（唐敏），心内科（王霄）；330002南昌，解放军联勤保障部队第九○八医院心内科（王强）；362000 泉州，解放军联勤保障部队第九一○医院呼吸内科（洪原城）；430101武汉，武汉火神山医院感染四科（梁菁菁、李娜、唐敏、王霄、王强、刘炯、洪原
Author(s):
-
关键词:
新型冠状病毒肺炎; 预后; 危险因素
Keywords:
-
分类号:
R563.1
DOI:
10.3969/j.issn.1672-271X.2021.04.015
文献标志码:
B
摘要:
目的探讨并分析老年新型冠状病毒肺炎（COVID-19）病例的临床特点及危险因素。方法回顾性分析2020年2月11日至 2020年3月18日火神山医院感染四科收治的70例老年新型冠状病毒性肺炎的临床资料。将患者分为普通型组(n=42)、重型组（n=19）、危重型组(n=9)，分析其临床表现、实验室检查以及预后情况。采用logistic回归方程分析影响患者进展为危重症的危险因素。结果老年的COVID-19患者多合并基础疾病，普通型组、重型组、危重型组之间性别、年龄、发病到入院时间比较差异无统计学意义（P＞0.05）。危重型组患者的治愈率明显较普通型组及重型组低（P＜0.05）。与普通型组及重型组患者相比，危重型组患者白细胞总数、C反应蛋白（CRP）、乳酸脱氢酶（LDH）、D-二聚体水平较高，淋巴细胞绝对值较低,差异有统计学意义（P＜0.05）。危重型组患者的血尿素氮（BUN）、脑钠肽（BNP）水平明显高于普通型组（P＜0.05），但与重型组相比，差异无统计学意义（P＞0.05）。进一步logistic回归分析后发现白细胞总数、淋巴细胞计数、CRP、LDH、D-二聚体与重症患者病情严重程度相关。结论老年COVID-19患者多合并基础疾病，危重型患者预后较差，其中白细胞计数、淋巴细胞计数、CRP、D-二聚体是预后不良的因素。
Abstract:
-

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：军队后勤科研面上项目（CLB19L026)；火神山医院科研面上项目（HSS141、HSS143）
更新日期/Last Update: 2021-08-10