老年肺心病急性发作期多脏器损害临床分析  

Multiple organ injury during acute paroxysm of chronic cor pulmonale in the elderly

作　　者：陈燕侠[1] 范幸明[1] 朱广卿[1] 李丰[1] 隋东江[1] 

机构地区：[1]空军总医院老年病呼吸科,北京100036

出　　处：《解放军保健医学杂志》2003年第3期155-157,共3页Journal Of Health Care And Medicine in Chinese Pla

摘　　要：目的 分析老年肺心病急性发作期并发多脏器损害情况及病死率。方法 对165例老年肺心病急性发作患者进行回顾性分析。结果 165例中发生多脏器损害者84例(50.9％),死亡38例,38/84(45.2％),患者脏器损害的数量与动脉血二氧化碳分压(PaCO_2)呈正比,与氧分压(PaO_2)呈反比。呼吸道感染为肺心病急性发作进而发生多脏器损害的主要诱因。结论 老年肺心病患者因缺氧常常使多脏器功能处于边缘状态,预防感染和急性发作期积极抗感染,纠正缺氧和CO_2潴留,阻断多脏器损害是提高急性发作救治率的重要环节。Objective To observe the condition of multiple organ injury and its mortality during acute paroxysm of chronic cor pul-monale in the elderly. Methods In 165 cases, multiple organ injury occurred in 84 cases, and died in 38 cases. PaO_2 and PaCO_2 was sur-veyed in every case. Results Infection was the main promoting factor tha caused multiple organ injury. Except for the injury of heart andlung, each importance organ may be damaged. Conclusions The organ function declining in elderly, lacking oxygen, cardiac insufficiencyand low tissue infusion were main reasons that led to multiple organ injury. It might interrupt the progress of multiple organ injury and increasethe survival rate to correct lacking oxygen and heart failure promptly.

关 键 词：老年 肺心病 急性发作期 多脏器损害 并发症 

分 类 号：R541.5[医药卫生—心血管疾病] R59[医药卫生—内科学]