老年慢性阻塞性肺疾病(COPD)患者呼吸衰竭合并肺部感染及死亡的相关因素

The death-related factors of respiratory failure combined with pulmonary infections in the aged COPD patients

目的 探讨老年COPD患者呼吸衰竭合并肺部感染的原因、治疗及影响预后的相关因素。 方法 对126例在我院内科住院的老年COPD患者呼吸衰竭合并肺部感染及死亡的临床资料进行回顾性分析 ,并和110例非老年COPD患者组对照。 结果 126例呼吸衰竭合并肺部感染及死亡的相关因素有 :年龄、基础疾病与伴发症、肺部感染及病原菌、治疗和抢救不当等 ,比较肯定的认为肺部感染是最主要且危险的因素。结论 本组患者死亡相关因素为基础疾病、呼吸衰竭和肺部感染三者互为因果 ,但肺部感染是加重呼吸衰竭死亡的主要危险因素 。

Objective To explore the inducement, treatment and death-related factors of respiratory failure combined with pulmonary infections in the aged COPD patieuts. Methods Retrospective analysis were made on 126 cases of aged COPD patients who are respiratory failure combined with pulmonary infections and 110 younger COPD patients. comparison were then made between the two groups. Results The factors related to respiratory failure, pulmonary infections and death in the aged patients were age, primary disease, complications, bacteria infection and improper treatments. Infection of the lungs is considered to be the most dangerous factor of death. Conclusions Primary disease, respiratory failure and infection of the lungs were the death-related factors, Infection of the lungs is the most dangerous factors. Rational use of antibiotic is the key point to ameliorate respiratory failure and reduce the death rate.