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一、一般资料1984年至1988年7月我院共收治肺心病心衰267例,其中并发MOF91例,占34.1%,男性72例,女性19例,年龄:32～80岁,其中32～45岁14例,46～55岁30例,56～65岁26例,66～75岁13例,75岁8例。91例中死亡70例,其中直接死于MOF50例,病死率为54.9%。肺心病急性发作的诱因均系肺部感染。此外,91例中有45例并有Ⅱ或Ⅲ期煤尘肺,占49.4%。二、器官衰竭与病死率的关系1.各脏器衰竭与病死率肺脑64例次,其中20例曾用过安定、颅通定及鲁米那降镇静药,死亡55例,占85%;并肾衰31例次,其中14例曾用过链霉素、庆大或卡那霉素等,死亡22例,占70.9%;并
First, the general information 1984 to July 1988 in our hospital were treated pulmonary heart disease 267 cases of heart failure, including concurrent MOF 91 cases, accounting for 34.1%, 72 males and 19 females, aged 32 to 80 years old, of which 32 to 45 14 years old, 30 cases 46-55 years old, 26 cases 56-65 years old, 13 cases 66-75 years old and 8 cases 75 years old. Of the 91 patients, 70 died, of which 50 died of MOF, the mortality rate was 54.9%. Pulmonary heart disease caused by acute infection are pulmonary infections. In addition, 45 of 91 patients had stage II or III pneumoconiosis, accounting for 49.4%. Second, the relationship between organ failure and mortality 1. Failure and mortality of various organs of the lung in 64 cases, of which 20 cases had used diazepam and cranial nerves sedatives, 55 deaths, accounting for 85% ; And renal failure in 31 cases, of which 14 cases had used streptomycin, Qingda or kanamycin, 22 patients died, accounting for 70.9%; and