摘要
目的通过分析慢性肺原性心脏病并发多脏器功能障碍综合征的临床特点,分析其发病的主要原因,危重因素及转归。方法选择108例肺心病患者,42例符合多脏器功能障碍综合征的诊断,给予有效抗炎等治疗,并根据各受累及器官系统给予相应治疗。结果 42例并发2个以上器官衰竭,其中呼吸衰竭40例,心力衰竭18例,中枢神经系统功能衰竭15例,肾功能衰竭10例,肝功能衰竭14例,胃肠功能衰竭8例,凝血系统衰竭4例;经救治无效死亡11例,多为60岁以上患者,死亡率与受累及脏器数和病程呈正相关。结论肺部感染及长期低灌流量是肺心病急性发作及导致并发多脏器功能障碍综合征的主要原因。肺心病并发多脏器功能障碍综合征死亡率高低,主要取决于受累的器官系统及其损伤持续时间,年老也是重要因素。
Objective To explore the main pathogenic cause and critical parameter as well as result of chronic pulmonary heart disease with multipie organ dysfunction syndrome by analyse the clinical characters. Methods 42 patients with MODS of all 108 patients with chronic pulmonary heart disease were collected and treated by effective anti-infection et al and relative treatment according to pathological organs simultaneously. Result 40 cases respiratory failure, 18 cases heart failure, 15 cases central nervous system failure, 10 cases renal failure, 14 cases liver failure, 8＆amp;nbsp;cases gastrointestinal failure, 4 cases coagulation failure between 42 patients chronic pulmonary heart disease with MODS. 11 patients over and above 60 years old generality died. The mortality increased with the amount of involved organs and the course of disease. Conclusion Lung infection and persistent hypoperfusion are main pathogenic cause of acute episode and result in MODS of chronic pulmonary heart disease. The mortality of chronic pulmonary heart disease with MODS is determined largely by the amount of involved organs and the course of disease.Age is an important factor also.
出处
《首都食品与医药》
2015年第4期31-32,共2页
Capital Food Medicine
关键词
肺心病
多脏器功能障碍综合征
Chronic Pulmonary Heart Disease
Multipie Organ Dysfunction Syndrome
