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目的 探讨脑梗死急性期死亡与多脏器系统功能衰竭的关系。方法 收集脑梗死急性期死亡病例 112例 ,分析其性别、原发性高血压、梗死后高血糖、梗死部位及梗死灶大小对脏器功能衰竭的影响。结果 多脏器系统功能衰竭女性明显高于男性 (P <0 0 5 ) ,原发性高血压及梗死后高血糖病人非常明显地高于血压、血糖正常者 (P <0 0 1) ,多脏器系统功能衰竭与梗死部位有关而与梗死灶大小无关。结论 脑梗死急性期病死率与多脏器系统功能衰竭密切相关 ,预防和治疗多脏器系统功能衰竭能有效降低梗死急性期病死率。
Objective To investigate the relationship between death of acute cerebral infarction and multiple organ failure. Methods A total of 112 acute cerebral infarction cases were collected and their gender, essential hypertension, hyperglycemia after infarction, infarct size and infarct size were analyzed. Results The number of failure of multiple organ system was significantly higher than that of male (P <0.05). The patients with essential hypertension and post-infarction hyperglycemia were significantly higher than those with blood pressure and normal blood glucose (P <0.01) Systemic organ failure and infarction related to the size of the infarct has nothing to do. Conclusions The mortality rate in acute stage of cerebral infarction is closely related to multiple organ system failure. Prevention and treatment of multiple organ system failure can effectively reduce the mortality rate of acute stage of infarction.