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目的:探讨评估蔺草致尘肺合并急性呼吸衰竭患者短期预后的相关因素。方法:对39例因各种因素导致蔺草致尘肺合并急性呼吸衰竭患者资料进行回顾性分析。结果:急性生理评分、急性生理与慢性健康估测评分Ⅱ评分较高、多脏器功能衰竭、低蛋白血症与短期内病死率升高相关。气胸、恶性病变及出现急性生理与慢性健康估测评分Ⅱ相关的疾病为独立的预测不良预后的因素。结论:多脏器衰竭功能、低蛋白血症提示预后不良;呼吸衰竭6h内相应指标、并发症的出现,原发疾病的严重性是蔺草致尘肺合并急性呼吸衰竭患者的预测指标。
Objective: To investigate the related factors for assessing the short-term prognosis of patients with pneumoconiosis complicated with acute respiratory failure. Methods: The data of 39 patients with pneumoconiosis complicated with acute respiratory failure caused by various factors were analyzed retrospectively. Results: The scores of Acute Physiology, Acute Physiology and Chronic Health Evaluation Score Ⅱ were higher, multiple organ failure and hypoproteinemia were related to the short-term mortality. Pneumothorax, Malignancy, and Acute Physiological and Chronic Health Assessment Score II-related diseases are independently predictors of poor prognosis. Conclusions: Multiple organ failure and hypoalbuminemia suggest a poor prognosis. The corresponding indicators within 6h of respiratory failure and the occurrence of complications, the severity of the primary disease is the predictor of rhesus pneumoconiosis complicated with acute respiratory failure.