【摘要】 目的总结肺心病并发多器官功能衰竭(MOF)的防治经验。方法回顾性分析8年来我院收治的慢性肺心病280例,其中合并MOF者63例。结果63例肺心病合并MOF者中,死亡43例,总死亡率68%;并发2个器官衰竭者死亡率52%(15/29);并发3个器官衰竭者死亡率65%(11/17);并发4个以上器官衰竭者死亡率100%(17/17)。结论肺心病合并MOF,受累器官越多,病死率越高,年龄越大,病死率越高。减少死亡率的关键在于控制感染,预防发生脑、肾、胃肠、肝、DIC等并发症。更多还原

【Abstract】 Objective To sum up the experience of prevention and treatment on multiple orgau failure(MOF) concomitant with pulmonary heart disease (PHD). Methods Retrospective analysis of the data on 63 patients with chronic PHD and complicated MOF was conducted. Results Among 63 patients with PHD and complicated MOF the total mortalty was 68%(43/63) . the death rate in cases with 2 organs failure was 52%(15/29) ,3 organs failure 65%(11/17) and ≥4 organs failure 100%(17/17) . After analysed age the fatality rate in an age range of 60~70 years was 31%(4/13) ,71~80 years 72%(28/39) and >80years 100%(11/11). Conclusion The patients with PHD and complicated MOF tent to produce high mortality ,especially in elderly cases . So to arrest infection and avoid the complication,e,g. brain ,kidney ,stomach ,liver ,disseminated intravascular coagulation ,may be the key to cut down the mortality .更多还原