摘要
新型冠状病毒人群普遍易感,有基础疾病的老年人更易感染,且老年患者重症率及病死率更高。免疫衰老是导致老年人容易出现危重新型冠状病毒肺炎的重要原因。老年人因合并基础疾病,可能导致临床表现、辅助检查及肺部影像学不典型,应特别注意。对老年患者进行诊治时需综合考虑全身状况。老年患者的治疗除一般治疗、氧疗、抗病毒治疗、呼吸支持等外,还应注意基础疾病的诊治、营养支持、排痰、预防并发症以及心理支持治疗。我们在文献回顾和专家研讨基础上,编写了《老年人新型冠状病毒肺炎防治要点》,以期有益于老年人新型冠状病毒肺炎的防治,减少新型冠状病毒对老年人群的危害。
The population is commonly susceptible to the 2019 novel coronavirus(2019-nCoV),especially the elderly with comorbidities.Elderly patients infected with 2019-nCoV tend to have higher rates of severe illnesses and mortality.Immunoaging is an important cause of severe novel coronavirus pneumonia(NCP)in the elderly.Due to the combination of underlying diseases,elderly patients may exhibit atypical manifestations in clinical symptoms,supplementary examinations and pulmonary imaging,deserving particular attention.The general condition of the elderly should be considered during diagnosis and treatment.In addition to routine care and measures such as oxygen therapy,antiviral therapy and respiratory support,treatment of underlying disease,nutritional support,sputum expectoration,complication prevention and psychological support should also be considered for elderly patients.Based on literature review and expert panel discussion,we drafted the Key Points for the Prevention and Treatment of the Novel Coronavirus Pneumonia in the elderly,aiming to provide help with the prevention and treatment of NCP and the reduction of harm to the elderly population.
作者
陈琼
余维巍
王丽静
奚桓
张蔷
陈新宇
黄葵
鲁翔
刘新民
张存泰
王建业
无
Chen Qiong;Yu Weiwei;Wang Lijing;Xi Huan;Zhang Qiang;Chen Xinyu;Huang Kui;Lu Xiang;Liu Xinmin;Zhang Cuntai;Wang Jianye;无(Department of Geriatrics,National Clinical Research Center for Geriatric Disorders,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Geriatrics,Tongji Hospital Affiliated to The Tongji Medical College Huazhong University of Science and Technology,Wuhan 430030,China;Beijing Hospital,National Center of Gerontology,Beijing 100730,China;Department of Geriatrics,Tianjin Medical University General Hospital,Tianjin Geriatrics Institute,Tianjin 300052,China;Department of Geriatrics,Zhejiang Hospital,Zhejiang Geriatric Medital Center,Hangzhou 310030,China;Department of Geriatrics,Sir Run Run Hospital,Nanjing Medical University,Hubei Huangshi Jiangsu Novel Coronavirus Pneumonia Medical Team,Nanjing 211199,China;Department of Geriatrics,First Hospital,Peking University,Beijing 100034,China;Chinese Geriatrics Society;National Center of Gerontology)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2020年第2期113-118,共6页
Chinese Journal of Geriatrics
关键词
新型冠状病毒
肺炎
防治
老年人
2019 Novel coronavirus(2019-nCoV)
Pneumonia
Prevention and treatment
The elderly
