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目的探讨高原地区老年慢性阻塞性肺病(COPD)急性加重期患者的临床表现特征。方法对收治的95例高原地区老年COPD急性加重期患者与同期收治的非老年COPD急性加重期患者进行比较。结果两组呼吸衰竭类型较为相似,老年组95例高碳酸血症与低氧血症显著高于非老年组,并且合并症发生率显著高于非老年组,对比差异有统计学意义(P<0.05)。结论高原地区COPD、缺氧较平原严重,且老年患者容易出现呼吸衰竭、电解质紊乱、并发肝肾等疾病。
Objective To investigate the clinical features of elderly patients with chronic obstructive pulmonary disease (COPD) in acute aggravating stage. Methods 95 cases of elderly patients with acute exacerbation of COPD in the plateau were compared with those of patients with acute exacerbation of non-elderly COPD admitted in the same period. Results The types of respiratory failure in the two groups were similar. The incidence of hypercapnia and hypoxemia in 95 elderly patients was significantly higher than that in non-elderly patients, and the incidence of complications was significantly higher than that in non-elderly patients (P < 0.05). Conclusion In the plateau area, COPD and hypoxia are more serious than the plains. Elderly patients are prone to respiratory failure, electrolyte imbalance and liver and kidney diseases.