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为了解老年肺心病并多脏器衰竭的特点,本文对149例老年肺心病急性加重期患者的临床资料进行分析。结果表明,本组老年肺心病多器官衰竭(MOF)的发生率为40%,MOF患者的病死率为52.5%,非MOF患者的病死率仅为5.6%。脏器损害发生率依次是心、肺、肾、脑、肝及胃肠。脏器损害数目越多,病死率越高。MOF患者的严重低氧血症,高碳酸血症及电解质紊乱的发生率均高于非MOF组。由此可见,减少老年肺心病的病死率关键是防止MOF的发生。
In order to understand the characteristics of elderly patients with pulmonary heart disease and multiple organ failure, the clinical data of 149 elderly patients with acute exacerbation of pulmonary heart disease were analyzed. The results showed that the incidence of multiple organ failure (MOF) in elderly patients with pulmonary heart disease was 40%. The case fatality rate was 52.5% in MOF patients and 5.6% in non-MOF patients. The incidence of organ damage followed by heart, lung, kidney, brain, liver and gastrointestinal. The more the number of organ damage, the higher the case fatality rate. The incidence of severe hypoxemia, hypercapnia and electrolyte imbalance in MOF patients was higher than that of non-MOF patients. Thus, reducing mortality in elderly patients with pulmonary heart disease is to prevent the occurrence of MOF.