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分析110例老年肺心病患者于急性加重期并发多脏器衰竭(MOF)60例的易患和高危因素。发现其易患因素主要为支气管-肺感染、其它心血管合并症和(或)心律失常、严重酸碱失衡及误用镇静剂、高流量吸氧等;脏器受累多、病情严重性计分高、衰竭累及脑和胃肠、有呼酸+代碱或三重酸碱失衡、治疗延误或方法陈旧等,为影响预后的高危因素。其中衰竭脏器≥3个与2个者相比和病情计分≥5分与≤4分者相比,均有显著性差异(P分别<0.05和0.01)
Analysis of 110 elderly patients with pulmonary heart disease in acute exacerbation of multiple organ failure (MOF) 60 cases of predisposing factors and risk factors. It was found that the main risk factors for bronchial-pulmonary infection, other cardiovascular complications and (or) arrhythmia, severe acid-base imbalance and misuse of sedatives, high-flow oxygen, etc .; organ involvement, severity score high , Failure involving the brain and gastrointestinal, acidosis or generation of alkali or triple acid-base imbalance, treatment delay or outdated methods, as a risk factor for prognosis. There were significant differences (P <0.05 and 0.01, respectively) in those with ≥3 organs of failure compared with 2 subjects and those with score ≥5 and ≤4,