老年多器官功能衰竭1605例的临床分析

Clinical Features and Nursing of Multi-organ Failure in the Elderly: A Report of 1,605 Cases

目的 探讨老年多器官功能衰竭(MOFE)患者的早期护理干预措施。方法 应用回顾性调查法分析1605例MOFE患者的发病危险因素和临床特征。结果 99％的MOFE患者发病前有1种以上的基础疾病,50％以上的MOFE患者发病前有2～3种疾病,最多的患有9种疾病;MOFE的发病诱因以感染最为多见,其中肺部感染最多(73.1％),且首发衰竭的器官以肺居首位。结论 为降低MOFE的发生率和死亡率,应积极预防多基础疾病老年患者的肺部感染,防止呼吸衰竭的发生。

Objective To discuss early nursing intervention to reduce morbidity and mortality of elderly patients with multi-organ failure. Methods A retrospective investigation was conducted on risk factors and clinical characteristics of 1 605 elderly patients with multi-organ failure. Results 99% patients had at least one, 50% patients had 2 or 3, and some even had 9 underlying diseases before they developed multi-organ failure. The major precipitating factor was infection and the commonest was pneumonia. The lung was the first failing organ. Conclusion Positive and individualized nursing intervention to prevent pneumonia and ARDS is essential for reducing mortality and morbidity of elderly patients with multi-organ failure.