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目的:对急性脑血管疾病并发多器官功能障碍综合征的临床因素和防治措施进行探讨分析。方法:随机选择于我院接受诊治的71例急性脑血管疾病并发多器官功能障碍综合征患者,对这些患者的临床资料进行回顾性分析,总结该类疾病的发病因素和临床防治措施。结果:通过观察分析,发现急性脑血管疾病并发多器官功能障碍综合征患者的受累器官较多,按照比例依次为胃肠道、肺、心、肾和肝;本组71例患者死亡率为52.11%,分析显示发生功能障碍的器官越多,死亡率越高,年龄越高,死亡率越高,差异有统计学意义(P<0.05)。结论:器官累及数和年龄是导致急性脑血管并发多器官功能障碍综合征死亡的主要因素,临床上要选择合理的个体化方案治疗,降低死亡率。
Objective: To investigate the clinical factors and prevention and treatment of acute cerebrovascular disease complicated with multiple organ dysfunction syndrome. Methods: A total of 71 acute cerebrovascular diseases complicated with multiple organ dysfunction syndrome were selected in our hospital. The clinical data of these patients were analyzed retrospectively to summarize the incidence of these diseases and clinical control measures. Results: Through observation and analysis, found that patients with acute cerebrovascular disease complicated by multiple organ dysfunction syndrome involved more organs, followed by the ratio of gastrointestinal tract, lung, heart, kidney and liver; 71 patients in this group mortality was 52.11 %, Analysis shows that the more organ dysfunction occurs, the higher the mortality rate, the higher the age, the higher the mortality rate, the difference was statistically significant (P <0.05). Conclusion: The number of organ involved and age are the major factors leading to the death of acute cerebrovascular complicated with multiple organ dysfunction syndrome. Clinically, we should choose a reasonable individualized treatment to reduce the mortality.