摘要
目的：通过观察老年性脑出血并多系统器官功能衰竭（MSOF）病例的临床特征,初步讨论其发病机制与防治措施.方法：采用回顾性调查方法.结果：68例并MSOF发生于脑出血后平均4.5d;其中2个、3个、4个以上器官功能衰竭者死亡率分别为：57.14%、76.19%、91.61%;器官功能衰竭（脑除外）先后发生顺序依次为：肺、消化道、心血管、肾、代谢、血液系统.结论：老年性脑出血并MSOF病死率高,其死亡率与器官功能衰竭数目多少密切相关;肺部感染是其最常见的诱因及并发症,及时有效采取综合防治措施可降低致残率和病死率.
Objective：To discuss the pathogenesis and preventive measures by observing the clinical characteristics among 68 elder with cerebral hemorrhage and MSOF. Methods：This study is retrospective. Results：MSOF occurred in 68 elder 4.5 days after cerebral hemorrhage. The mortality of the patients with 2 organs failure, 3 organs failure, 4 organs failure was 57. 14%, 76.19%, 91. 61% respectively. MSOF （except brain） occurred successively in the following order： lung, gastromtestinal, cardiovascular, kidney, metabolism, blood system. Conclusion：The elder with cerebral hemorrhage and MSOF is in a high mortality, which is closely related to the number of MSOF. Pulmonary infection is the most common incentive and complication. The morbidity and mortality can be reduced by taking integrated measures timely and effectively.
出处
《按摩与康复医学》
2011年第9期21-22,共2页
Chinese Manipulation and Rehabilitation Medicine
