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慢性肺心病并发多脏器功能衰竭48例临床分析 被引量:4

Clinical analysis for 48 cases of chronic pulmonary heart disease complicated by multiple organ failure
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摘要 目的 探讨慢性肺心病并发多脏器功能衰竭的临床特点和治疗措施。方法 对 110例慢性肺心病中合并有多脏器衰竭的资料较完整的 48例作回顾性分析 ,总结该病合并脏器衰竭的数目与预后的关系 ,以及诱发多器官衰竭的因素。结果 MOF的病死率随脏器功能衰竭增多而增高 ,MOF的发生具有序贯性发病特点 ,与脏器血流灌注不足及机体缺氧、一氧化碳潴留程度有密切关系。结论 及早发现MOF ,积极治疗心力衰竭和呼吸衰竭、纠正微循环障碍、积极控制感染、提高机体整体免疫功能是逆转MOF的主要措施。 Objective To investigate the clinical characteristic and treatment measure of plumonary heart disease complicated by multiple organ failure(MOF).Methods The data of 110 cases of chronic pulmonary heart disease were reviewed in which 48 cases were complicated by MOF,to find out the relationship between the complication and prognosis and the inducer of MOF. Results The more of the MOF.the more of the mortality,the occurence of MOF was characterized by sequence and was closely related with the insufficiency of organ blood infusion,the accumlation of CO and organism anoxia.Conclusion The main measure against MOF is to find out MOF earlier,to treat the heart and respiratory failure effectively,to improve the microcirculation,to control the bacterial infection and to strengthen the immunity funciton of the body.
作者 钱志仁
出处 《河北医药》 CAS 2000年第6期411-412,共2页 Hebei Medical Journal
关键词 慢性肺心病 多脏器功能衰竭 并发症 临床分析 chronic pulmonary heart disease multiple organ failure
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