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目的:研究肺心病引起MOF的各种诱因,以便早发现、早诊断、早治疗。方法:选择肺源性心脏病纳入标准的患者200例,在肺心病急性发作期的基础上符合并发症状的患者,可诊断为MOF。结果:MOF中,呼吸衰竭者29例(100%),心力衰竭26例(90%),肾功能衰竭者有10例(34.5%),上消化道出血有3例(6.7%),肺性脑病有9例(30%),肝功能衰竭6例(20%),弥漫性血管内凝血(DIC)有2例(1%),其中合并2个器官衰竭者有8例(26.7%),3个以上器官衰竭有21例(70%)。除死亡病例外余170例,并MOF者有仅5例(2.9%),均为2个器官受累。结论:肺心病合并MOF病因复杂,变化快,其早发现并及时治疗有效的治疗对预后有很重要的意义。
Objective: To study the various causes of MOF caused by pulmonary heart disease in order to detect early, early diagnosis and early treatment. Methods: Two hundred and twenty patients with pulmonary heart disease were enrolled into the standard. Patients with concomitant symptoms on the basis of the acute exacerbation of pulmonary heart disease were diagnosed as MOF. RESULTS: Among MOFs, 29 (100%) had respiratory failure, 26 (90%) had heart failure, 10 (34.5%) had renal failure, 3 had upper gastrointestinal bleeding (6.7% Encephalopathy was found in 9 cases (30%), liver failure in 6 cases (20%), disseminated intravascular coagulation (DIC) in 2 cases (1%), of which 8 cases (26.7% Twenty-one patients (70%) had more than three organ failure. In addition to the death of more than 170 cases, and MOF were only 5 cases (2.9%), are two organs involved. Conclusions: The etiology of pulmonary heart disease combined with MOF is complex and rapid changes. The early detection and timely treatment of effective treatment is of great significance to the prognosis.