老年慢性肺心病急性加重期合并多器官功能障碍综合征的原因分析及护理对策

目的 了解老年慢性肺心病急性加重期合并多器官功能障碍综合征(MODS)的原因,探讨临床防护对策.方法 分析本院126例老年慢性肺心病急性加重期的临床资料.结果 老年慢性肺心病急性加重期随着年龄增大,抵抗力下降,出现肺部难以控制的感染,长期低氧血症和高碳酸血症,导致肺、心、脑、肾、消化道、肝等多脏器功能障碍或衰竭及DIC,增加病死率.结论 老年慢性肺心病急性加重期,应加强监测各重要脏器的功能变化,对合并MODS患者,关键在于早发现、早诊断、早治疗,同时,切实做好各种相应的治疗和护理,可提高老年慢性肺心病急性加重期合并MODS的防治效果,减少病死率.

Etiologic Factors and Nursing Countermeasures of Aged Chronic Pulmonary Heart Disease during Acute Period with Multiple Organ Dysfunction Sydrome

Objective To analyse etiologic factors of aged chronic pulmonary heart diseaseduring actue period,and explore clinical strategy of prevention and nursing co -untermeasures. Methods The clinical data of 126 cases with aged chronic pulmonary heartdisease during actue period were comprehensively analysed. Results Clinical situation showedlower resistance with increasing older age, pulm-onary infection withat, chrinic hypoxemiaand hypercapnia, which led to multiple organ dysfunction sydrom(eMODS),including lung,heart,brain,kidney,digestive tract,liver and DIC,etc. And increased fatality rate.Conclusion Thechanges of very important organ function must attract attention,It is important that thesteps are takenearly detect,diagnose,prevent and cure,And it put to the pay accurcysynchronze corresponding cure and nurs for these patients,IS to raise the efficiency ofprevention and cure,And devaluatio fatalily rate.