老年重症肺结核并多脏器功能衰竭的临床特征  

Clinical Characteristics of Advanced Senile Pulmonary Tuberculosis Combined with Multi-organ Failure

作　　者：张丽好[1] 刘国标[1] 刘琨[1] 黎婉媚[1] 崔柱天[1] 

机构地区：[1]广州市胸科医院,广东广州510095

出　　处：《现代医院》2004年第7期31-32,共2页Modern Hospitals

摘　　要：目的　探讨老年重症肺结核并多脏器功能衰竭的临床特征。方法　分析老年重症肺结核并多脏器功能衰竭的临床表现。结果　老年重症肺结核并多脏器功能衰竭病例男性多于女性、年龄大、病程长、并发症多 ,免疫功能低下容易引起呼吸道感染是诱发多脏器功能衰竭的主要原因。受累脏器数目越多 ,病死率越高 ,病死率为 5 8 9%。 2个受损脏器与 4个受损脏器无显著性差异 ,P >0 0 5 ,2个受损脏器与 5个受损脏器有显著性差异 ,P <0 0 5。结论　掌握老年重症肺结核并多脏器功能衰竭的临床特征 ,重视预防及早期发现 ,治疗中亦密切配合和综合治疗。抗结核治疗中注意肝肾功能 ,并积极预防和治疗呼吸道感染 ,减少诱发因素 ,防止多脏器功能衰竭发生 ,降低病死率。Objective To explore clinical characteristics of advanced senile pulmonary tuberculosis combined with multi-organ failure. Methods To analyze the clinical manifestation of advanced senile pulmonary tuberculosis combined with multi-organ failure. Results More of such cases are male, with greater age, long course of disease, more complications. The main cause which places a premium on multi-organ failure is the lowered immunological function inducing respiratory infection easily. The more organs involved the higher mortality. The mortality rate is 48.9%. There is no significant difference between 2 organs involved and 4 organs involved, P>0.05,but the difference between 2 organs and 5 organs involved is significant, P<0.05. Conclusion It is essential to hold the clinical characteristics of advanced senile pulmonary tuberculosis combined with multi-organ failure, pay attention to prevent and discover it early, in treatment close coordination and comprehensive curing are necessary. In anti-tuberculosis treatment the liver and renal function must be noticed. The respiratory infection must be prevented and cured actively. Inducing factors should be decreased so that to avoid the development of multi-organ failure and decrease the mortality.

关 键 词：老年 肺结核 多脏器功能衰竭 呼吸道感染 临床特征 抗结核药物 护肝治疗 

分 类 号：R521[医药卫生—内科学] R59[医药卫生—临床医学]