恶性肿瘤患者死亡的原因及脏器衰竭(附208例分析)

Direct Causes of Deaths in Patients with Malignant Diseases and Vital Organ Failure

回顾分析恶性肿瘤的直接死亡原因,收集自1964-1986年间,经临床或病理确诊208例,男157,女51,年龄自10-85岁,以肝、胃、肺、食管等分为6组进行观察。其中,中、晚期81.2％,呈现不同程度恶病质96.7％。非肿瘤死亡36例(17.3％):手术死亡15例,化、放疗后死亡8例,间发其他疾病9例;肿瘤死亡172例(82.7％):并发症36例,广泛转移及重度恶病质39例,肿瘤脏器衰竭42例,伴发其他脏器衰竭55例。

Analysis of 208 inpatients with malignant tumors seen from 1964 to 1986 was made with emphasis on the direct causes of deaths which were well documented clinically and/or pathologically. It is revealed that advanced disease or cachexia occurred in 81.2% and 96.7% of the cases respectively. Causes not related to the tumor were found in 36 cases (17.3%), iatrogenic in 23 including operative death 15, radio-or chemotherapeutic 8, intercurrent diseases 9 cases and others. Causes attributable to tumor itself were observed in 172 patients (82.7%). Of the latter, complications claimed 36,diffuse metastases with marked cachexia 39,failure of the involved organs 42, multi-organ failures secondary to the malignancies 55.