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目的探讨老年人器官衰竭(MOFE)与慢性疾病及死亡率的关系。方法对78例MOFE患者的诱发因素,原患慢性疾病的种类和原患慢性疾病的数目及死亡率进行统计分析。结果①提示发生老年人多器官衰竭顺序与其原患基础疾病的种类和数目密切相关。②器官衰竭的数目与死亡率呈正比。③诱发因素中以感染最为多见,感染部位以肺部感染尤为突出,在感染细菌中,除常见细菌外,特别要注意结核杆菌(TB)菌、霉菌、厌氧菌的感染。结论老年人器官功能衰竭、免疫功能低下,使某些代偿处于临界状态的器官在短时间内迅速失代偿,出现序贯性的器官衰竭,老年人多种疾病相互并存,多器官的相互影响,由单一器官衰竭而发展为MOFE。
Objective To investigate the relationship between senile organ failure (MOFE) and chronic diseases and mortality. Methods The predisposing factors of 78 patients with MOFE, the types of chronic diseases and the number of chronic diseases and the mortality rate were statistically analyzed. Results ① The sequence of multiple organ failure that prompted the occurrence of the elderly was closely related to the type and number of the underlying diseases. ② The number of organ failure is proportional to the death rate. ③ The most common cause of infection is infection, the infection of the lung infection is particularly prominent in the infected bacteria, in addition to common bacteria, with particular attention to Mycobacterium tuberculosis (TB) bacteria, mold, anaerobic infections. Conclusions Senile organ failure, immune dysfunction, so that some compensated in the critical state of the organ quickly lost compensation in a short period of time, there sequential organ failure, the elderly coexist a variety of diseases, multiple organs mutual Affect, from a single organ failure and the development of MOFE.