论文部分内容阅读
目的调查住院老年肺部感染患者并发老年多器官功能障碍综合征(MODSE)的高危患者,为早期预防老年肺部感染并发MODSE提供依据。方法采用“MODSE早期预测评分系统”对住院老年肺部感染患者进行评分,筛查住院老年肺部感染患者并发MODSE的高危患者,并对其危险因素的分布情况进行分析。结果对住院老年肺部感染患者137例进行调查,筛查出MODSE高危患者64例,占总调查患者数的46.72%。具有慢性呼吸衰竭、慢性心功能不全、肺间质纤维化、慢性肾功能不全等疾病的老年肺部感染患者绝大多数是MODSE高危患者。结论 MODSE高危患者在住院老年肺部感染患者中占有较高的比例。对于住院老年肺部感染患者中的MODSE高危患者,应加强对各器官功能的监测,注意防范MODSE的发生。
Objective To investigate the risk factors of MODSE in hospitalized elderly patients with pulmonary infection complicated with senile multiple organ dysfunction syndrome (MODSE). Methods The “MODSE Early Prediction System” was used to assess the elderly patients with pulmonary infection in hospitalized elderly patients with pulmonary infection complicated with MODSE in high-risk patients, and the distribution of risk factors were analyzed. Results A total of 137 elderly patients with pulmonary infection in hospital were surveyed, and 64 high risk MODSE patients were screened, accounting for 46.72% of the total number of patients. The majority of patients with senile pulmonary infection who have chronic respiratory failure, chronic cardiac insufficiency, interstitial lung fibrosis, and chronic renal insufficiency are at high risk for MODSE. Conclusion High risk patients with MODSE occupy a higher proportion of hospitalized elderly patients with pulmonary infection. For patients with senile pulmonary infection inpatients with MODSE at high risk, we should strengthen the monitoring of organ function, pay attention to prevent the occurrence of MODSE.