32例老年急性心肌梗塞并发多脏器功能衰竭的临床分析

目的探讨老年急性心肌梗死（AMI）并发多器官功能障碍综合征（MODS）的临床特点及治疗抢救重点。方法收集32例老年人AMI合并MODS的临床资料进行回顾性分析。结果32例老年AMI病死率随受累脏器功能障碍数目增多而增加；老年AMI发生MODS患者中合并心源性休克、呼吸衰竭和肾功能衰竭的病死率分别为60％、36．8％和33．3％。结论老年AMI患者容易出现心源性休克、呼吸衰竭和肾功能衰竭，是导致老年AMI病死率增加的重要因素。

The Retrospective Clinical Analysis of Multiple Organ Dysfunction Syndromes for 32 Acute Myocardial. Infarction old Patients.

Objective To summarize the information and successful experience of multiple organ dysfunction syndromes from thirty-two acute myocardial infarction old patients in hospital, observe mortality during follow-up. Methods The clinical data of thirty-two acute myocardial infarction old patients were retrospective analyzed. Results The case fatality rate of thirty-two acute myocardial infarction old patients were increased with the number of multiple organ dysfunction syndromes; The case fatality rates of cardiogenic shock, respiratory failure and renal failure were 60%, 36.8%and 33.3%. Conclusion The acute myocardial infarction old patients easily complicated with cardiogenic shock, respiratory failure and renal failure, that is the most important reason to lead the case fatality rates increased.