急性脑血管病与多脏器功能衰竭的相关问题

目的 :研究 12 9例急性脑血管病 (ACVD)并发多脏器功能衰竭 (MOF)死亡病例的临床特点及相关问题。方法 :将 90例MOF按不同年龄 ,不同诊断 ,存活时间 ,受累脏器等情况进行对比分析。结果 :6 0～ 70岁组发生率最高 ,>70岁组存活时间最短 ;<5 0岁发生率最低 ,存活时间最长。肺脏最先最多受累 ,胃最后最少受累。蛛网膜下腔出血 (SAH)年龄最小 ,例数也少 ;脑出血 (CH)例数最多 ,存活时间最短 ;脑梗塞 (CI)年龄最大 ,存活时间最长。平均受累脏器 3个以上。死于MOF高达 6 9 76 %。结论 :MOF是ACVD的主要死因 ,前期疾病是其发病基础 ,肺部是最先最多受累的脏器 ,年龄是存活期长短的主要因素

The interrelation problem of acute cerebovascular disease and multi-organ failure

OBJECTIVE:To study the clinical characteristics and interrelation problem of 129 dead patients with acute cerebrovascular disease (ACVD) and multi organ failure (MOF). METHODS: To analyse comparatively in 90 patients with MOF in terms of age, diagnosis, surviving time, affected organ. RESULTS: The incidence rate is highest in group of patients from 60 to 70 years old, the surviving time is shortest in group of >70 years old, the lowest incidence rate and the longest surviving time is <50 years old. In affected organs, lung is earliest and most, stomach is latest and least. Age is the youngest and cases are few in patients with subarachnoid hemorrhage (SAH), in the patients with cerebral hemorrhage (CH), the cases are most, the surviving time is shortest, cerebral infarction (CI), age is youngest, the surviving time is longest. The affected organs are evenly 3. The patients died of MOF are 69 76%. CONCLUSION: MOF is the main dead reason of ACVD, the previous disease is the base, the earliest and most affected organ is lung. Age is the main factor in surviving time.