老年慢性肺心病急性发作期功能衰竭68例分析

Analysis of 68 Cases of Aged Chronic Pulmonary Heart Disease and Multiple System Organ Failure (MSOF)

目的 探讨老年慢性肺心病并发多脏器功能衰竭(MSOF)的临床特点、发病机制及预防。方法 分析老年慢性肺心病并发MSOF68例不同年龄组脏器衰竭的平均数,衰竭脏器数目与病死率的关系及动脉血氧分压与MSOF的发生及预后的关系。结果 本组发生率为32.7%,受累脏器中以呼吸衰竭和心力衰竭最多(分别为96.6%、95%),其次为脑功能衰竭(68.2%)、肾功能衰竭(56.3%)、肝功能衰竭(37.4%)、应激性胃肠道出血(28%)。年龄越大,发生衰竭脏器数目越多,缺氧愈明显,病死率越高。结论 老年肺心病并MSOF的病死率与衰竭脏器数目、缺氧程度成正比。

Objective To study the clinical features, the mechanism and prevention of chronic pulmonary heart disease and MSOF among aged people. Methods To analyze the averages of different age groups suffering from system organ failure, the relation-ship between the number of failed viscera and the death rate as well as that between arterial oxygen pressure and the occurence of MSOF and post-prevention in 68 cases of aged chronic pulmonary heart disease and MSOF. Results The rate of occurence of the experimental group is 32.7%. Among the affected visceras, respiratory failure and heart failure are on the top (96.6% and 95% respectively), followed by the failure of brain (68.2%), kidney failure (56.3%), liver failure (37.4%), stressful gastric haemorrhage (28%). Besides, it is proved that the more aged the patients are, the more visceras are failed, the more obvious the oxygen deficit and the higher the death rate. Conclusion The death rate of pulmonary heart disease and MSOF among aged people is in direct proportion to the number of failed visceras and the degree of oxygen deficit.