老年人脑梗死合并重症多脏器衰竭临床特点

Cerebral Infarction with Multiple Organ Failure in Elderly(A Clinical Analysis of 20 Casses)

本文分析了20例老年人脑梗死合并多器官衰竭（MOFE）患者临床特点：（1）发病前平均患有3．1种慢性疾病；（2）60％患有2次以上脑梗塞，在诱发MOFE的因素中，主要是肺部感染、脑梗死复发、皮肤感染，（3）首发及多发衰竭器官以心血管、胃、肾脏多见。认为治疗以预防为主，应注意；（1）预防感染；（2）预防脑血管病复发；（3）防止应激性溃疡；（4）合理用药。

20 cases of cerebral infarction with multiple organ failure in elderly (MOFE)were analysed. The results showed that the clinical features included: (1 )On an average,therewere 3. 1 kinds of chronic diseases before onset ; (2)The chief precipitating factors in MOFEwere pulmonary infection,recurrence of cerebral infarction and skin infection ; (3) Cardiovas-cular system,stomach,kidney were the first affected organ or multiple failure organs. Themanagement should put prevention first. we have to pay attention to prevent from infection,recurrence of cerebral vascular diseases and stress-related mucosal disease.