慢性肺源性心脏病合并多脏器损害的防治经验

The experiences of prevention and treatment of chronic pulmonary heart disease with multi-organ injury

目的:总结慢性肺源性心脏病(简称肺心病)并发多脏器损害的防治经验。方法:回顾性分析138例慢性肺心病合并多脏器损害患者的临床资料,结合心电图、动脉血气分析、血离子、肝功能、肾功能等实验室检测全面分析。结果:在138例患者中,多脏器损害死亡率41.30%,其中2个脏器损害的患者死亡率21.43%,3个脏器损害的患者死亡率52.38%,3个以上脏器损害的患者死亡率76.92%。结论:慢性肺心病合并多脏器损害,受累器官越多,病死率越高,预防脑、肾、肝、胃肠、心脏、酸碱失衡及电解质紊乱等并发症,可减少死亡率。

Objective To summarize the experiences of prevention and treatment of chronic pulmonary heart disease with multi-organ injury.Method The clinical data of 138 cases of chronic pulmonary heart disease with multi-organ injury admitted in recent six years in our hospital were retrospectively analyzed,combined with the laboratory indexes of electrocardiogram,arterial blood gas analysis,calcium ions,liver function,renal function and so on.Results In 138 cases,the mortality was 41.30% with multi-organs injury,21.43% with two organs′ injury,52.38% with three organs′ injury,76.92% with three or more organs′ injury.Conclusion In chronic pulmonary heart disease with multi-organ injury,the more the injury organs,the higher the mortality rate.Prevention of the complications of brain,kidney,liver,stomach intestine,heart,acid-base imbalance and electrolyte disturbance to decrease the death rate.