摘要
总结了经CT确诊的老年人中风合并多器官衰竭130例。死亡105例为80.8%,存活25例为19.2%。多器官衰竭的多发和首发器官以脑、呼吸及心血管为最多,死亡病例器官衰竭的数目除脑衰外均在3个以上。老年人各器官功能衰退和免疫功能低下、中风时脑水肿对下丘脑和脑干植物神经中枢损害等因素的相互作用,是发生多器官衰竭的主要原因。密切监测重要器官功能变化,有效降颅压,及时作气管切开等综合治疗。
Apoplexy combined with MOF in130 old aged cases diagnosed byCT was discussed.105 dead casedoccupied 80.8%.The early andoften failing organs in MOF arebrain,respiratory and cardio vaseular.The number of failing organs(except brain)in dead cases is morethan three.The mutual influence of some factors eg.hypofunction and lowerimmunity in old men and damageof autonomic nerve centre in apoplexy etc.is primary cause ofMOF.Paying close attention to functi-onal changes of important organs,effectively reducing intracranialPressure and tracheotomy in timeetc.are significant in decreasingthe mortality.
