肺心病致多器官功能衰竭40例临床分析

CLINCAL ANALYSIS OF COR PULMONALE—CAUSD MULTIPLE ORGAN FAILURE IN 40 CASES

40例肺心病致多器官功能衰竭病例中,2个器官受累者12例(占30％),3个器官受累者25例(占62.5％),4个器官受累者3例(占7.5％),以呼吸衰竭加心力衰竭加肺性脑病的病死率最高(占61.9％)。认为,恰当地解决诊治中的几个矛盾,是降低病死率的关键。本组病例的病死率平均为55.3％,低于国外个别报道,近似国内某些报道。

The paper reports 40 cases of MOF caused by cor pulmonale. of these, 2 organs were involved in 12 cases (30％), 3 organs in 25(62.5％) and 4 organs in 3 (7.5％). Twenty-one patients died, the average mortality rate being 55.3％. The percenage was approximate to that from some internal literature or lower than it. The mortality rate in patients with respiratory fallure, heart failure, and pulmonary encephalopathia was the highest of all. The article suggests that the main aspect of reducing the mortality rate from MOF is proper management of contradictory elements found in the process of diagnosis and treatment.