老年COPD呼吸衰竭并发多器官衰竭的临床观察

Clinical Observation on Respiratory Failure and Complicate Multiple Organ Failure in Senile Chronic Obstructive Pulmonary Diseases

目的探讨老年慢性阻塞性肺疾病(COPD)并发多脏器功能损害(MSOF)的临床特点及预后。方法回顾性分析34例老年COPD并MSOF患者的临床资料。结果34例中仅合并慢性呼吸衰竭4例(11.8%),并发多脏器功能损害30例(88.2%)。经治疗后,仅合并呼吸衰竭者好转率100%;合并MOSF后预后差,病死率与受累器官成正比。结论老年COPD并发多脏器功能损害的发生率越高,病死率越高。

Objective To study the clinical features and prognosis of the senile chronic obstructive pulmonary disease （COPD） complicated with multiple system organ failure （MSOF）, Methods The clinical data of 34 cases of senile COPD was analyzed retrospectively. Results Four cases complicated with chronic respiratory failure （ 11.8% ） and 30 cases with MOSF （88.2 % ）, 100 % of the former were improved after treatment. The cases with MOSF had unfavorable prognosis. The mortality was in direct proportion with the number of depleted organs, Conclusions Both the incidence and the mortality were higher in the senile COPD complicated with MSOF.