128例急性脑血管并发多脏器功能衰竭的临床分析

Clinical analysis of 128 patients with acute cerebral vascular complicated with multiple organ failure

目的探讨急性脑血管并发多脏器功能衰竭的临床特点和治疗对策。方法选取2014年5月-2015年5月我院收治的急性脑血管并发多脏器功能衰竭患者共128例,按照出血、梗死及不同年龄、既往合并慢性疾病情况及是否存在肺部感染分析MOF数目、MOFS评分及MOFS存活时间。结果脑梗死组与脑出血组MOF数目、MOFS存活时间比较,差异均无统计学意义（P〉0.05）。脑梗死组MOFS评分明显低于脑出血组,两组比较差异有统计学意义（P〈0.05）。年龄〈60岁组的MOF数量明显少于60~70岁组及≥70岁组,比较差异有统计学意义（P〈0.05）。三组MOFS评分及存活时间情况比较,差异无统计学意义（P〉0.05）。有肺部感染组患者的MOF数目、MOFS评分高于无肺部感染组,MOFS存活时间明显低于无肺部感染组,两组比较差异有统计学意义（P〈0.05）。结论肺部感染及发病年龄是急性脑血管并发多脏器衰竭发生的重要因素。

Objective To investigate the clinical characteristics and treatment strategy of acute cerebral vessel complicated with multiple organ failure. Methods 128 patients with acute cerebrovascular disease complicated with multiple organ failure were selected from May 2014 to May 2015. The number of MOF, MOFS score and MOFS survival time were analyzed by bleeding, infarction, and different age, previous chronic diseases and the presence of pulmonary infection. Results There was no significant difference in the number of MOF and MOFS in cerebral infarction group and cerebral hemorrhage group（P〈0.05）. The score of MOFS in cerebral infarction group was significantly lower than that in cerebral hemorrhage group, and the difference between the two groups was statistically significant（P〈0.05）. MOF number of Age 60 years old group was less than that of 60-70 years old group and equal to 70 years old group, the difference had statistical significance（P〈0.05）. There was no significant difference between the three groups in MOFS score and survival time（P〈0.05）. The MOF number and MOFS score of patients with pulmonary infection were significantly higher than those without pulmonary infection, and the survival time of MOFS was significantly lower than that of lung infection group, and the difference between the two groups was statistically significant（P〈0.05）. Conclusion Pulmonary infection and age are important factors in the occurrence of multiple organ failure.