60例老年患者起病至死亡的长期观察结果

A Long—Term Observable Results of 60 Cases from First Admission to Death in the Elderly

本文报告60例老年患者的长期观察结果。就老年患者主要多发病的进展、演变及主要脏器损害特点和合并症进行分析。女性仅3例。年龄自60至85岁,平均69.8岁。病程初期以高血压病占首位,后期则演变为以冠心病占首位。本组老年多见病主要来自老年前期疾病的发展,病程在3年以内者,大多数为癌瘤患者。导致死亡的实质器官损害以心肺为主,因肝肾功能衰竭致死者少见。由于老年患者免疫应激能力下降,加以免疫抑制剂的治疗,病程末期可出现二重感染及多处感染导致死亡。

The results of 60 elderly cases,aged from 60 to 85 followed up by ob- servation from first admission to death were reported.The common diseases in elderly patients,their coarse changes,the damaged organs ard concomitant diseases were analyzed.Only three cases were female.Hypertention was the first place at the first admission,and the coronary atherosclerosis,at the last admission to death.Many common diseases in the elderly were the progression of the diseases suffered from the middle-age.The most common diseases leading to death within three years were carcinonma and tumor,and the parenchymal damage in heart and lungs was the main cause. The last admission may produce a superinfection and polyplace infec- tion leading to death due to the decrease of the immunity and stress ability of elderly patients.