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本文以慢性肺心病急性发作期并发 MSOF 162例临床资料分析与年龄、病程、病原菌、酸碱失衡的关系,探索发生诱因及机理,主要是严重感染和缺氧,并提出本病的防治。住院时应定期作各项功能检查及早确诊。治疗首先要纠正缺氧、改善通气功能。积极控制感染时须警惕氨基糖苷类抗生索促发肾衰的危险。对于并发心衰者,为了防止应用利尿剂引起低灌注而促发 MSOF,首选洋地黄制剂,这样可以降低死亡率。
In this paper, 162 cases of acute episode of chronic pulmonary heart disease complicated by MSOF clinical data analysis and age, course of disease, pathogenic bacteria, acid-base imbalance, and to explore the causes and mechanism, mainly severe infection and hypoxia, and put forward the prevention and treatment of this disease. Hospitalization should be regularly checked for various functional early diagnosis. The first treatment to correct hypoxia, improve ventilation. Active control of infection should be wary of aminoglycoside antibiotics to urge the risk of renal failure. For congestive heart failure, in order to prevent the use of diuretics caused by hypoperfusion and promote MSOF, preferred digitalis preparations, which can reduce mortality.