老年多器官功能障碍综合征死亡高危因素分析  

THE HIGH RISK FACTORS OF DEATH IN SENIL PATIENTS WITH MULTIPLE ORGAN DYSFUNCTION SYNDROME

作　　者：王仁萍[1] 赵新秀[2] 王伟[1] 马莉娜[1] 

机构地区：[1]青岛大学医学院附属医院健康查体中心,山东青岛266003 [2]青岛大学医学院附属医院,2011级研究生山东青岛266003

出　　处：《青岛大学医学院学报》2012年第5期439-440,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的探讨老年多器官功能障碍综合征(MODSE)的死亡危险因素。方法回顾性分析89例65岁以上MODSE病人的死亡危险因素、病死率及临床特点。结果 MODSE的主要病因是重症感染、严重创伤、休克、重症胰腺炎及心肺复苏术后等,其病死率高达62.92%,并存慢性疾病者病死率高达73.61%,且病死率随着衰竭器官数目增加而显著升高(χ2=6.944,P<0.01)。结论 MODSE发病原因复杂,基础病变多,病死率高,具有连续性和动态变化等特征,早期诊断和早期防治具有重要意义。Objective To investigate risk factors of death in the aged with multiple organ dysfunction syndrome（MODS）.Methods A retrospective review was done in 89 patients with MODS,who were over 65 years old,in regard to their risk factors of death,fatality rate,and clinical features.Results The main reasons of MODS in the patients were severe infection,severe trauma,shock,severe pancreatitis and after cardiopulmonary resuscitation,the fatality being as high as 62.92%,for those with concomitant chronic diseases,the fatality might reach up to 73.61%,which would increased along with the increase of the number of the depleted organs（χ2=6.944,P〈0.01）.Conclusion The etiology of MODS is complex,with the characteristics of more basic pathological changes,high fatality,continuity and dynamic changes.It is of important significance to make an early diagnosis,prevention and cure.

关 键 词：多器官功能障碍综合征 老年人 危险因素 病死率 

分 类 号：R459.7[医药卫生—急诊医学]