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对1790例肺心病患者中6O岁以上老年肺心病并发多系统功能衰竭(MSOF)321例进行分析,并与同期60岁以下肺心病并发MSOF185例进行对比。结果表明,老年肺心病患者具有四高现象,即发病率高,并发MSOF比率高,损伤脏器数比率高,病死率高。两组病例中各系统功能衰竭,均依次为肺、心、脑、肾、肝、胃肠、凝血机制的顺序出现。文中还对老年肺心病并发MSOF的产生机理和治疗进行了初步探讨。
321 cases of pulmonary heart disease complicated with multiple system failure (MSOF) were analyzed in 1790 cases of patients with cor pulmonale, and compared with MSOF185 cases of cor pulmonale complicated with pulmonary heart disease under the age of 60. The results showed that elderly patients with pulmonary heart disease has a four-high phenomenon, that is, high incidence of complicated with high MSOF rate, high rate of organ damage, high mortality. The two groups of patients with functional failure, followed by lung, heart, brain, kidney, liver, gastrointestinal, coagulation mechanism of the order. In this paper, the pathogenesis and treatment of senile pulmonary heart disease complicated with MSOF were also discussed.