老年人慢性阻塞性肺部疾病并多器官衰竭的相关因素分析

Analysis of related factors in chronic obstructive pulmonary disease with multiple organ failure in the elderly

摘要:

目的了解老年慢性阻塞性肺部疾病(COPD)并多器官衰竭(MOF)的临床特征.方法回顾性分析159例老年COPD并MOF患者的临床资料.结果老年COPD并MOF的发生率为75.0%,病死率为31.4%,发生衰竭的器官依次为肺、心、脑、肾、肝、胃肠和血液,出现肾功能衰竭和弥散性血管内凝血(DIC)者全部死亡.pH值越低、氧分压越低、二氧化碳分压短期内迅速上升、器官衰竭数目越多,病死率越高.结论老年人COPD并MOF发生初期应重点防治肺、心两个器官,病死率随着器官衰竭数目的增加而上升,与器官衰竭的种类、严重程度有关.

Abstract:

Objective To investigate the clinical characteristics of chronic obstructive pulmonary disease(COPD) with MOF in the elderly. Methods 159 elderly patients of COPD with multiple organ failure(MOF) were analyzed retrospectively. Results The morbidity w