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目的 :通过对 5例老年急性心肌梗死患者并发多器官衰竭的回顾分析 ,以期获得对该病较全面的认识 ,从而有利于早期预防、早期发现、早期治疗 ,以提高抢救成功率。方法 :采用对 5例患者的发病年龄、心肌梗死的范围及并发心衰、休克、肾衰、呼衰、上消化道出血时的实验室检查结果行对照分析。结果 :发现老年急性心肌梗死一旦并发多器官衰竭其预后极差、死亡率甚高 ,必须引起临床医师的高度重视。这可能与老年人免疫力低下 ,重要器官储备功能低下及治疗措施不当有关。
Objective: Through retrospective analysis of 5 elderly patients with acute myocardial infarction complicated by multiple organ failure, in order to obtain a more comprehensive understanding of the disease, which is conducive to early prevention, early detection and early treatment to improve the success rate of rescue. Methods: Five patients with age of onset, the scope of myocardial infarction and concomitant heart failure, shock, renal failure, respiratory failure, upper gastrointestinal bleeding laboratory test results were compared. Results: The elderly patients with acute myocardial infarction complicated by multiple organ failure, their prognosis is very poor, the mortality rate is very high, we must pay great attention to clinicians. This may be related to the low immunity of the elderly, the vital organ reserve dysfunction and improper treatment.