32例慢性肺心病合并多脏器功能衰竭死亡原因分析

Analysis of 32 Dead Patients With Chronic Pulmonary Heart Disease Complicated By Multiple Organ Failure

目的探讨慢性肺源性心脏病合并多脏器功能衰竭(MOF)死亡的影响因素及其预后,并提出防治建议,以降低肺心病的病死率,提高患者生命质量。方法回顾性分析绵阳市人民医院近五年收治的慢性肺心病合并MOF死亡病例的临床资料。结果 MOF的预后与慢性肺源性心脏病的病程、年龄、所受累器官数量呈正相关。病程10年以上,年龄70岁以上,受累器官3个以上是病死率偏高的主要危险因素。结论严密监测患者各重要脏器功能的变化,早期积极有效地控制感染是防治MOF的关键。

Objective Aanalyze factors and prognosis of Chronic pulmonary heart disease complicated by multiple organ failure（MOF）,and put forward recommendations on prevention to reduce the mortality of MOF,improve patient quality of life.Methods Retrospectively analyze clinical data of 32 deaths five-year-admitted to our hospital with chronic pulmonary heart disease combined MOF.Results MOF prognosis of pulmonary heart disease,age,organ involvement was a positive correlation.Course of 10 years,age over 70 years,more than 3 organ involved high mortality.Conclusion Close monitoring of patients with changes in the function of important organs,the early active and effective infection control is the key to control MOF.