老年人肺心病急性发作期的多脏器损害

目的观察老年人肺心病急性发作期所伴发的多脏器损害情况及死亡率。方法收集165例老年人肺心病急性发作患者，监测多脏器损害者动脉血氧分压（PaO2）及二氧化碳分压（PaCO2）。结果发生多脏器损害者84例，死亡38例，感染为多脏器损害发生的主要诱因；除心、肺受累外，可引起各重要脏器的损伤。结论老年人脏器功能低下、缺氧、心功能不全、组织低灌注成为多脏器损害的主要原因。

Multiple organ injury during acute paroxysm of chronic cor pulmonale in the elderly

Objective To observe the condition of multiple organ injury and its mortality during acute paroxysm of chronic cor pulmonale in the elderly. Methods In 165 cases, multiple organ injury occurred in 84 cases, and died in 38 cases. Every case was surveyed PaO 2 and PaCO 2 Results Infection was the main precipitating factor that caused multiple organ injury. Aside form the injury of heart and lung, each importance organ may be damaged. Conclusion The organ function declining in elderly, lacking oxygen, cardiac insufficiency and low tissue infusion were main reason that led multiple organ injury.