慢性肺心病急性期并发多器官功能障碍研究

Study on the acute stage of chronic cor pulmonale with multiple organ dysfunction

目的:探讨慢性肺心病急性加重期并发多器官功能障碍的现状以及治疗手段。方法:收治慢性肺心病患者80例(42例并发多器官功能损伤),对其临床资料进行回顾性分析。结果:42例并发多器官功能损伤的慢性肺心病患者中,全部并发呼吸衰竭和心力衰竭,并发肾功能损伤23例,并发肺功能损伤10例,并发消化道损伤7例。死于慢性肺心病急性期并发多器官功能障碍18例。结论:慢性肺心病急性加重期多器官功能障碍较为严重,临床上应当采取积极的治疗措施,降低多器官功能障碍病死率。

Objective：To explore the status and treatment of multiple organ dysfunction syndrome in the period of acute exacerbation of chronic pulmonary heart disease.Methods：80 patients with chronic cor pulmonale（42 cases with multiple organ dysfunction） were selected,and the clinical data were analyzed retrospectively.Results：42 cases of chronic pulmonary heart disease complicated with multiple organ dysfunction were complicated by respiratory failure and heart failure,23 cases of renal function damage,10 cases of lung dysfunction and 7 cases of digestive tract injury.There were 18 cases of multiple organ dysfunction syndrome in the acute stage of chronic pulmonary heart disease（cor pulmonale）.Conclusion：Multiple organ dysfunction is more serious during acute exacerbation of chronic cor pulmonale.Active treatment should be taken in order to reduce the mortality of multiple organ dysfunction.