| 老年重症多器官衰竭55例临床分析 |
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| 引用本文： | 王士雯,叶平,范利,张爱萍. 老年重症多器官衰竭55例临床分析[J]. 解放军医学杂志, 1987, 0(5) |
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| 作者姓名： | 王士雯 叶平 范利 张爱萍 |
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| 作者单位： | 解放军总医院老年心肾科(王士雯，叶平，范利)，解放军总医院老年心肾科(张爱萍) |
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| 摘 要： | 分析了1977年4月～1987年1月间救治的60岁以上老年重症多器官衰竭(MOF)55例。每例患有慢性疾病平均3.8种,衰竭器官平均3.3个,病死率90.9％。其中2～6个器官衰竭各1例,均救治成功。结果提示:老年MOF的诱因主要是肺部感染(72.7％)和晚期肿瘤转移(14.6％),其次为严重心律失常(7.3％)和药物使用不当(5.5％)。其发病机理多系器官低灌注、内毒素等毒性物质和免疫功能低下。讨论了老年MOF的发病特点、预后、诊断标准及预防治疗等。
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| 关 键 词： | 多器官衰竭 老年 发病特点 |
SEVERE MULTIPLE ORGAN FAILURE IN THE ELDERLY: ANALYSIS OF 55 CASES |
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| Wang Shiwen,et al.. SEVERE MULTIPLE ORGAN FAILURE IN THE ELDERLY: ANALYSIS OF 55 CASES[J]. Medical Journal of Chinese People's Liberation Army, 1987, 0(5) |
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| Authors: | Wang Shiwen et al. |
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| Affiliation: | Wang Shiwen,et al. General Hospital of PLA,Beijing |
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| Abstract: | 55 cases of severe multiple organ failure above 60 years old were treated from April 1977 to January 1987. Each case suffered from 2 to 11 kinds of chronic diseases with an average of 3.8 kinds, and an average of 3.3 organ failures. The average mortality rate was 90.9%. The main precipitating factors were pulmonary infection(72.7%), metastatic carcinoma (14.6%), cardiac arrhythmia (7.3%) and improper medication (5.5%). Low organ infusion, endotoxin and immunological insufficiency probably contributed to their development. Diagnosis, prognosis, therapy and prevention of MOF in the elderly were discussed. |
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| Keywords: | Multiple organ failure Elderly Characteristics of onset |
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