论文部分内容阅读
目的:探讨社区获得性重症肺炎(SCAP)并发老年多器官功能不全综合征(MODSE)的临床特征与影响预后的因素。方法:入选82例SCAP并发MODSE的患者,分析临床特点及预后相关因素。结果:所有患者发生MODSE的首发脏器均为肺脏;影响预后的因素:伴慢性阻塞性肺疾病(COPD),基础疾病、受累器官越多,病死率越高;营养支持可以提高生存率。结论:SCAP并发MODSE的患者病情进展迅速,病死率高。应加强对SCAP的监测,预测MODSE的发生,阻断MODSE的序贯性过程,使病程得以逆转,从而降低其病死率。
Objective: To investigate the clinical characteristics and prognostic factors of community acquired severe pneumonia (SCAP) complicated with senile multiple organ dysfunction syndrome (MODSE). Methods: 82 patients with SCAP complicated with MODSE were enrolled in this study. Clinical characteristics and prognostic factors were analyzed. Results: The first organ of MODSE in all patients was lung. Factors affecting the prognosis: COPD, underlying diseases, more affected organs and higher case fatality rate; nutritional support could improve the survival rate. Conclusion: The patients with SCAP complicated with MODSE developed rapidly and the mortality rate was high. Monitoring of SCAP should be strengthened, the occurrence of MODSE should be predicted, the sequential process of MODSE should be blocked, the course of disease should be reversed, and the mortality should be reduced.