老年COPD及肺心病急性期多器官功能衰竭的防护对策
摘要
目的:探讨老年慢性阻塞性肺疾病(COPD)、肺源性心脏病急性期发生的多器官功能衰竭及预防措施。方法:收集131例COPD、肺心病并发2个以上器官功能衰竭的老年患者的临床资料,并按年龄分成两组,进行分析。结果:两组患者各器官衰竭发生率依次为肺、心血管、脑、肾、肝、胃肠、血液;两组各器官衰竭的病死率比较差异无显著性(P>0.05)。结论:针对老年COPD、肺心病急性期多器官功能衰竭的状况,总结有针对性的防护措施,降低患者未来健康恶化的风险。
Abstract
Objective:To investigate the multiple organ failures caused by senile chronic obstructive pulmonary disease (COPD) and acute phase of cor pulmonale, and to discuss its preventive measures.Methods:We colected the clinical data of 131 elderly cases with COPD or cor pulmonale complicated by more than two organ failures, and divided them into two groups by age to do analysis.Results:The incidence of organ failure in the two groups are lung, cardiovascular system, kidney, liver, gastrointestinal tract and blood, respectively. The mortality rate induced by multiple organ failures between the two groups was not significantly different (P>0.05).Conclusions:Targeted measures should be made based on the status of senile COPD and acute phase of cor pulmonale complicated by multiple organ failures, so as to decrease further deterioration risk.
关键词
慢性阻塞性肺疾病/肺源性心脏病/多器官功能衰竭/防护Key words
chronic obstructive pulmonary disease/cor pulmonale/multiple organ failures/protection引用本文复制引用
出版年
2014