肝功能监测对预测老年晚期肿瘤患者合并多脏器功能衰竭的研究

The Significance of Monitoring the Liver Function for the Prediction of Multiple Organ Failure in the Late Term with Senile Tumor

目的 探索老年晚期肿瘤患者合并多脏器功能衰竭 (MOFE)重要器官改变的规律 ,以提供护理上的早期干预。方法 对 2 6例老年晚期肿瘤合并多脏器功能衰竭患者从入院到死亡按时间顺序收集观察指标 2次 ,即住院中期和死亡前 3天。分析各项检测指标偏离正常值的程度。结果 脏器损伤进展速度顺序为肝、肾、心、肺。肝脏损伤程度进展最快。结论 老年晚期肿瘤患者应重视肝功能指标的监测以及早采取措施阻断及延缓MOFE的发生。

Objective To explore the alterative characteristics of major organs in the late term with senile tumor with multiple organ failure (MOFE) and to set up the pattern of nursing intervention. Methods Clinical data of 26 cases of the senile patients who died of tumor with MOFE were collected and analyzed. These data were measured when the middle period in hospital and 3 days before the patients died respectively, included blood gas analysis, function of liver, renal and cardiac etc. Results The study had shown that liver failure was firstly occurred in the late term with senile tumor following by function failure of kidney, heart and lung in turn. Conclusions Failure of liver function suggested that the cases in the late term with senile tumor might be easily to develop MOFE, so more attention should be paid.