休克型肺炎与多脏器损害临床分析

本文分析成人休克型肺炎59例的多脏器损害表现,初步探讨了本病多系统器官受损或衰竭的发病与预后的关系。本组55岁以上者占40.7%,发生中、重度休克有37例占62.7%,发生叶、段性肺炎有43例占76.8%;总的发生多脏器损害有43例占72.9%,除肺受损外,心血管、脑、肾受损较多。本组总病死率为14%,累及四个器官病死率为70%,五个器官为100%。本文最后提出休克型肺炎的治疗措施和早期检查各脏器功能的必要性。

CLINICAL ANALYSIS OF SHOCK PNEUMONIA WITH MULTI-SYSTEM ORGANS FAILURE

Clinic manifestations of multi-system organs failure (MSOF) in 59 patients with shock pneumonia(37 men and 22 women) are presented and the relationship between onset of MSOF and prognosis primarily explored. In these patients, 40.7% were fifty years old or more. 37 patients (62.7%) had middle serious shock. 43 patients (76.8%) had piece or lobar pneumonia. In the present study group, 43 patients had MSOF which accounted for 72.9%. The organs besides jungs which were frequently injured were the heart, brain and kidney. The total case fatality rate was 14%. The case fatality rate was 70% with four organs injured and 100% with five organs injured. In this paper, recommendation are made regarding the treatment of shock pneumonia and the necessity of early examination of every organs function emphasized.