论文部分内容阅读
多系统器官功能衰竭(Multiple System OrganFailure以下缩写为MOSF)并非一独立疾病,而是一种临床综合征。急性心肌梗塞并发多脏器功能衰竭为一严重而复杂的病理过程,一旦发生,病情危笃,预后很差。现分析如下:临床资料一、一般资料全部病例均为我院内科住院病人。20年中共收治急性心肌梗塞病人101例,其中并发MSOF18例,MSOF发生率为17.8%;死亡14例,病死率为77.7%.18例中,男性13例,女性5例,男女性别比为2.6:1。年龄自61岁至90岁,平均年龄为72岁。心肌梗塞诊断标准是病史,动态的心电图演变和血清酶的变化,本组病例根据上述诊断标准三项中二项阳性而诊断为急性心肌梗塞。18例中有原发疾病:高血压病10例;糖尿病3例;慢支肺气肿5例。急性心肌梗塞部位:膈面9例,前间壁4例,前壁4例,广泛前壁2例,心内膜下2例,高侧壁3例。
Multiple System OrganFailure (hereinafter abbreviated as MOSF) is not an independent disease, but a clinical syndrome. Acute myocardial infarction complicated by multiple organ failure is a serious and complex pathological process, in the event of a serious illness, the prognosis is poor. Are analyzed as follows: Clinical data First, the general information All cases are hospital inpatient inpatient. In the past 20 years, 101 cases of acute myocardial infarction were treated in our hospital, of which 18 cases were complicated with MSOF and MSOF was 17.8%, 14 cases died with a mortality rate of 77.7% .There were 13 males and 5 females in 5 of 18 cases with a male / female ratio of 2.6 :1. The age ranged from 61 to 90 and the average age was 72. Myocardial infarction diagnostic criteria is history, dynamic ECG changes and changes in serum enzymes, this group of patients based on the diagnostic criteria in three of the two positive diagnosis of acute myocardial infarction. 18 cases of primary disease: hypertension in 10 cases; 3 cases of diabetes; 5 cases of chronic bronchitis. Acute myocardial infarction site: 9 cases of diaphragmatic surface, anterior wall in 4 cases, anterior wall in 4 cases, extensive anterior wall in 2 cases, 2 cases of subendocardial and 3 cases of high side wall.