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目的探讨分析重症肺炎与多器官功能衰竭的相关性。方法回顾性分析51例重症肺炎并发多器官功能衰竭患者的诊疗过程,对其各项相关化验指标进行分析,总结多器官功能衰竭的危险因素及预防策略。结果经治疗,存活39例(76.5%),死亡12例(23.5%);两组BMI、白蛋白、红细胞压积比较,差异无统计学意义(P>0.05);两组病死率各相关因素比较,差异有统计学意义(P<0.05)。结论婴幼儿及老年重症肺炎患者易发生多器官功能衰竭,临床上应警惕。在治疗时,及时给予机械通气,积极预防肺部感染是预防重症肺炎伴多器官功能衰竭的有效措施。
Objective To analyze the correlation between severe pneumonia and multiple organ failure. Methods The diagnosis and treatment of 51 patients with severe pneumonia complicated with multiple organ failure were retrospectively analyzed. The related laboratory indexes were analyzed, and the risk factors of multiple organ failure and prevention strategies were summarized. Results After treatment, 39 cases (76.5%) survived and 12 died (23.5%). There was no significant difference in BMI, albumin and hematocrit between the two groups (P> 0.05) The difference was statistically significant (P <0.05). Conclusion Infants and elderly patients with severe pneumonia prone to multiple organ failure, clinical precautions should be taken. In treatment, promptly give mechanical ventilation, and actively prevent lung infection is to prevent severe pneumonia with multiple organ failure effective measures.