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我院呼吸内科1993年4月~1995年4月收治慢性肺源性心脏病188例,并发多系统器官功能衰竭(MSOF)92例(占48.94%)。其中死于MSOF55例(占59.78%)。在受累器官中,除心或肺外,有脑、肝、肾、胃和代谢系统。脑受累率最高(59.78%),依次为代谢系统、肝、肾和胃。2个器官受累64例(69.57%);3个器官受累19例(20.65%);4个器官受累9例(9.78%)。肺心病病死率随脏器功能衰竭数目的的增多而增高,2个器官受累病死率53.13%;3个器官受累病死率63.16%;4个以上脏器功能衰竭的病例100%死亡。以胃受累病死率最高(77.78%),依次为脑、肾、肝、代谢系统。
In our hospital from April 1993 to April 1995, 188 patients with chronic cor pulmonale were admitted to our Department of Respiratory Medicine, and 92 patients (48.94%) were complicated with MSOF. Among them, 55 cases died of MSOF (59.78%). In the affected organs, except the heart or lung, there are the brain, liver, kidney, stomach and metabolic system. Brain involvement rate was highest (59.78%), followed by metabolic system, liver, kidney and stomach. Two organs involved in 64 cases (69.57%); three organs involved in 19 cases (20.65%); four organs involved in 9 cases (9.78%). The mortality rate of pulmonary heart disease increased with the increase of the number of organ failure, the fatality rate of two organs was 53.13%; the fatality rate of three organs was 63.16%; and the death rate of more than four organs was 100% . The highest mortality rate was stomach involvement (77.78%), followed by brain, kidney, liver and metabolic system.