目的探讨老年流行性出血热患者的临床特点。方法对106例老年流行性出血热患者的临床资料进行回顾性分析,并与同期收治的非老年组流行性出血热患者进行比较。结果老年流行性出血热患者重型及危重型占84.9%,病程明显延长,并发症高于非老年组(P<0.05);少尿期老年组血尿素氮、肌酐浓度均明显高于非老年组,血小板明显低于非老年组(P<0.01)。病死率(12.3%)高于非老年组(2.0%)。丙氨酸氨基转移酶浓度比较两组无显著差异(P>0.05)。结论老年流行性出血热患者病情重,早期表现不典型,病程长,并发症多,病死率高;对其应力争早诊断、早治疗,注意防治各种并发症。 Objective To investigate the clinical features of elderly patients with epidemic hemorrhagic fever. Methods The clinical data of 106 elderly patients with epidemic hemorrhagic fever were retrospectively analyzed and compared with those of non-elderly patients with epidemic hemorrhagic fever treated in the same period. Results Severe and critically ill elderly patients with epidemic hemorrhagic fever accounted for 84.9%, the course of the disease was significantly prolonged and the complication rate was higher than that in the non-elderly group (P <0.05). The concentrations of blood urea nitrogen and creatinine were significantly higher in the oliguria elderly group than in the non-elderly group , Platelet was significantly lower than non-elderly group (P <0.01). The case fatality rate (12.3%) was higher in the non-elderly group (2.0%). Alanine aminotransferase concentration in the two groups showed no significant difference (P> 0.05). Conclusions Elderly patients with epidemic hemorrhagic fever are seriously ill with early manifestations, long course of disease, many complications and high case fatality rate. Early diagnosis and early treatment should be emphasized, and various complications should be prevented.