208例急性脑血管病并发多脏器衰竭死亡病例分析

分析了 2 0 8例急性脑血管病并发多脏器衰竭 (MOF)死亡病例的临床特点。发现脑出血组并发MOF的严重程度重于脑梗死组 (P <0 .0 1 ) ;年龄 60～ 70岁组发生MOF的数量较年龄小于 60岁组明显增多 (P <0 .0 5) ;同时发现既往患 2种及 2种以上慢性疾病的患者发生MOF多于潜在疾病少于 2种慢性疾病的病例 (P <0 .0 5) ;合并肺部感染组发生MOF的数量、严重程度评分均明显高于非感染组 (P <0 .0 1 ) ,且存活时间明显缩短 (P <0 .0 5)。结果提示肺部感染和既往所患的慢性疾患是MOF发生的重要因素 ,并结合文献提出MOF的治疗对策。

Analisis of 208 Cases Acute Cerebrovascular Disease Complicated with Multiple Organ Failure

To study characteristics of 208 acute cerebrovascular disease cases that complicated with multiple organ failure (MOF). MOF scores of hemorrhage group were significantly more than infarction group(P< 0.01);organs suffered from MOF happened in age between 60～70 years old were more than that in age under 60 years old(P<0.05); quantity of organs with MOF happened in group with two or more two sorts chronic diseases were more than that with less than two (P<0.05);quantity of MOF and MOF scores in group with pulmonary infection were much more than that without infection (P< 0.01), and survive periods were less than it as well(P<0.05). Chronic diseases existed prior MOF happening and pulmonary infection were very important factors for MOF. Controling systemic infection and evaluating important organs function carefully at early stage of acute cerebrovascular diseases were strongly recommended for controling MOF.