摘要
本文报告３０例重症肺结核合并多器官损害或衰竭。首先衰竭以肺多见（占７６．７％），多器官损害或衰竭的发生率依次为肺、心、脑、肝、肾及胃肠。其中以肺性脑病并应激性溃疡病死率最高，３例均死亡。发病机理主要为组织低灌注和缺氧引起单一器官损害或衰竭后序贯性多器官损害或衰竭。并提出了重症肺结核的防治措施。
Thirty cases of
severe pulmonary tuberculosis complicated bymultiple organ involvement or multiple system
organ failure are reported. The failureusually started firstly from the lung (76.7%). The various
organ failures occurredsuccessively to the heart,liver,kidney and gestrointestine ,the fatality rate
being 43.3percent(13/30). All of the 3 patients with pulmonary encephalopathy
accompanyingstress ulcer died.The measures of prevention and treatment were suggested.
出处
《承德医学院学报》
1994年第4期288-290,共3页
Journal of Chengde Medical University
关键词
肺结核
重症肺结核
缺氧
多器官衰竭
tuberculosis ,pulmonary
anoxia
multiple organ failure
