摘要
新型冠状病毒肺炎在老年人中病死率高、危害性大。由于增龄导致的生理功能下降及基础疾病导致的病理状态,老年新型冠状病毒肺炎的临床表现、辅助检查等具有不典型性,治疗手段和防控措施须考虑该人群的特殊性。为进一步做好老年新型冠状病毒肺炎诊治和防控工作,中国老年学和老年医学学会老年病学分会呼吸和危重病专家委员会编写了本共识,针对老年新型冠状病毒肺炎的临床特点、诊治要点提出意见建议,强调:(1)诊断应强调新型冠状病毒肺炎在老年人中的临床不典型性、基础疾病导致病情的复杂化;(2)治疗须兼顾多系统功能,实施以呼吸和危重症学科为主的多学科综合救治;(3)防控需建立"院中-院外全程照护"和"急慢性疾病一体化管理"体系,并形成常态化防控,以提高老年新型冠状病毒肺炎诊治能力和防控水平。
Coronavirus disease 2019(COVID-19)can cause great damage to the elderly patients and lead to high mortality.The clinical presentations and auxiliary examinations of the elderly patients with COVID-19 are atypical,due to the physiological ageing deterioration and basal pathological state.The treatment strategy for the elderly patients has its own characteristics and treatment protocol should be considered accordingly.To improve the diagnosis,treatment,and prevention of COVID-19 in the elderly,the Expert Committee of Geriatric Respiratory and Critical Care Medicine,China Society of Geriatrics established the"Expert consensus for the diagnosis,treatment,and prevention of coronavirus disease 2019 in the elderly".We focused on the clinical characteristics and key points for better treatment and prevention of COVID-19 in the elderly.(1)For diagnosis,atypical clinical presentation of COVID-19 in the elderly should be emphasized,which may be complicated by underlying disease.(2)For treatment,strategy of multiple disciplinary team(mainly the respiratory and critical care medicine)should be adopted and multiple systemic functions should be considered.(3)For prevention,health care model about integrated management of acute and chronic diseases,in and out of hospital should be applied.
作者
林连君
朱蕾
时国朝
吴剑卿
李洪霞
孙宝君
林江涛
徐作军
孙铁英
黎健
俞森洋
刘新民
无
Lin Lianjun;Zhu Lei;Shi Guochao;Wu Jianqing;Li Hongxia;Sun Baojun;Lin Jiangtao;Xu Zuojun;Sun Tieying;Li Jian;Yu Senyang;Liu Xinmin;无(Department of Geriatrics,Peking University First Hospital,Beijing 100034,China;Department of Respiratory Medicine,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Respiratory and Critical Care Medicine,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China;Department of Geriatrics,Jiangsu Province Hospital(The First Affiliated Hospital of Nanjing Medical University),Nanjing 210029,China;Department of Respiratory Medicine,The Second Medical Center of PLA General Hospital,Beijing 100853,China;Department of Pulmonary and Critical Care Medicine,China-Japan Friendship Hospital,Beijing 100029,China;Department of Pulmonary and Critical Care Medicine,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Respiratory and Critical Medicine,Beijing Hospital,National Center of Gerontology,Beijing 100730,China;Beijing Hospital,Beijing Institute of Geriatrics of National Health Commission,Beijing 100730,China;The Expert Committee of Geriatric Respiratory and Critical Care Medicine,China Association of Gerontology and Geriatrics)
出处
《中华内科杂志》
CAS
CSCD
北大核心
2020年第8期588-597,共10页
Chinese Journal of Internal Medicine
基金
国家重点研发计划(2020YFC2005400,2020YFC2005401)。
