论文部分内容阅读
肺性脑病(下称肺脑)病死率较高,临床除肺脑表现外,还易引起多系统器官损害。本文就肺脑合并乡系统器官损害分析讨论如下。一、资料来源本组47例肺脑病例选自1984～1986年间收住院患者,均符合肺脑诊断标准。其中中型10例,重型37例。47例中有12例死亡,住院病死率为25.5%,二、多系统器官损害本组47例肺脑合并多系统器官损害包括酸碱电解质失衡、上消化道出血、肝肾功能损害、心律失常、DIC、休克等。(一)酸碱电解质失衡(表1)(二)上消化道出血及其它合并症(表2)三、多系统器官损害与病死率多系统器官损害指肺脑患者同时并发另一或二个以上器官损害。本组资料示肺脑合并受损器官越多,预后越差;肺脑与上消化道出血、休克并存时死亡率最高。
Pulmonary encephalopathy (hereinafter referred to as pulmonary brain) higher mortality, in addition to clinical manifestations of lung and brain, but also easily lead to multiple system organ damage. In this paper, lung and brain system combined organ damage analysis discussed below. First, the sources 47 cases of pulmonary encephalopathy cases selected from 1984 to 1986 admitted to hospital patients, all in line with diagnostic criteria of the lung. Among them, 10 cases were medium and 37 cases were heavy. Of the 47 cases, 12 died and the in-hospital mortality rate was 25.5%. Second, multiple system organ damage The group of 47 patients with pulmonary and brain combined with multiple system organ damage including acid-base electrolyte imbalance, upper gastrointestinal bleeding, liver and kidney dysfunction, arrhythmia , DIC, shock and so on. (A) acid-base electrolyte imbalance (Table 1) (b) of upper gastrointestinal bleeding and other complications (Table 2) Third, the multiple system organ damage and mortality Multiple system organ damage refers to the pulmonary and brain patients concurrent with another or two Above organ damage. This group of data show that the more organs of lung and brain damage, the prognosis is worse; lung and upper gastrointestinal bleeding, shock co-exist when the highest mortality.