老年流行性出血热78例临床分析

目的:探讨老年流行性出血热(EHF)患者的临床特点.方法:回顾性分析78例老年EHF患者(老年组)和56例非老年组EHF患者的临床资料,比较两组治疗效果及肝肾功能、血常规指标血尿素氮(BUN)、肌酐(Cr)、血小板(PLT)、谷草转氨酶(ALT)、谷丙转氨酶(AST)的变化.结果:老年组治愈率(79.49%)明显低于非...

Clincal analysis of 78 elderly cases with epidemic hemorrhagic fever

Objective： To analyze the characteristics of elderly epidemic hemorrhagic fever（EHF）.Methods： The clinical data of 78 elderly EHF cases were analyzed,retrospectively and compared with those of 56 non-elder EHF patients,including BUN,Cr,PLT,ALT and AST.Results： The cure rate of elderly group was 79.49% and non-elder group was 92.86%（P〈0.05）;the BUN,Cr of elderly patients were significantly higher than non-elder group（P〈0.05）,and PLT was significantly lower than non-elder group（P〈0.05）.and PLT was significantly lower than non-elder group（P〈0.05）. There were no significant differences in ALT and AST （P〉O. 05）. Conclusions： The EHF is a complicated multiorgan injury disease. The elderly patients show more severe illness. The initial clinical manifestations are atypical, the incidence of complication and the mortality are high. It is important to make diagnosis and treatment as soon as possible to low the mortality and morbidity.