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中华重症医学电子杂志 ›› 2022, Vol. 08 ›› Issue (03) : 211 -215. doi: 10.3877/cma.j.issn.2096-1537.2022.03.005

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高龄新型冠状病毒肺炎患者重症护理:防“危”杜渐
马璐1, 刘松桥1, 康焰2, 吴志雄3, 李晓青1,(), 徐翠荣4,()   
  1. 1. 210009 南京,江苏省重症医学重点实验室东南大学附属中大医院重症医学科
    2. 610041 成都,四川大学华西医院重症医学科
    3. 200040 上海,复旦大学附属华东医院重症医学科
    4. 210009 南京,江苏省重症医学重点实验室东南大学附属中大医院护理部
  • 收稿日期:2022-06-10 出版日期:2022-08-28
  • 通信作者: 李晓青, 徐翠荣
  • 基金资助:
    国家自然科学基金项目(81971885); 国家重大疫情救治基地建设项目(2019-320831-84-02-524538)

Intensive care for elderly patients with COVID-19: prevention of progression to critically ill

Lu Ma1, Songqiao Liu1, Yan Kang2, Zhixiong Wu3, Xiaoqing Li1,(), Cuirong Xu4,()   

  1. 1. Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, China
    2. Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China
    3. Department of Critical Care Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China
    4. Department of Nursing, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, China
  • Received:2022-06-10 Published:2022-08-28
  • Corresponding author: Xiaoqing Li, Cuirong Xu
引用本文:

马璐, 刘松桥, 康焰, 吴志雄, 李晓青, 徐翠荣. 高龄新型冠状病毒肺炎患者重症护理:防“危”杜渐[J]. 中华重症医学电子杂志, 2022, 08(03): 211-215.

Lu Ma, Songqiao Liu, Yan Kang, Zhixiong Wu, Xiaoqing Li, Cuirong Xu. Intensive care for elderly patients with COVID-19: prevention of progression to critically ill[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2022, 08(03): 211-215.

高龄新型冠状病毒肺炎(简称新冠肺炎)患者由于原发病本身、生理因素、伴有多种基础疾病等原因,发病后容易在短期进展为重症。特殊时期的重症护理需要“关口前移”,加强早期筛查,同时制定个体化的护理方案,包括俯卧位等。针对这一特殊群体,还需加强多方位护理,包括气道管理、容量评估、营养治疗、康复锻炼、心理干预等。在疫情防控期间,重症护理应充分发挥核心作用,防“危”杜渐,改善高龄新冠肺炎患者的临床预后及生活质量。

Elderly coronavirus disease 2019 (COVID-19) patients are prone to short-term progression to critically ill after onset due to the primary disease itself, physiological factors, comorbid diseases. The intensive care during this special period needs to be "moved forward" to enhance early screening and to develop individualized care plans, including prone position. For this special population, multifaceted care, including airway management, volume assessment, nutritional therapy, rehabilitation exercises, and psychological intervention are also needed. During the pandemic, intensive care should play a central role to prevent "critical" and improve the clinical prognosis and quality of life of elderly COVID-19 patients.

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