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分析了 2 0 8例急性脑血管病并发多脏器衰竭 (MOF)死亡病例的临床特点。发现脑出血组并发MOF的严重程度重于脑梗死组 (P <0 .0 1 ) ;年龄 60～ 70岁组发生MOF的数量较年龄小于 60岁组明显增多 (P <0 .0 5) ;同时发现既往患 2种及 2种以上慢性疾病的患者发生MOF多于潜在疾病少于 2种慢性疾病的病例 (P <0 .0 5) ;合并肺部感染组发生MOF的数量、严重程度评分均明显高于非感染组 (P <0 .0 1 ) ,且存活时间明显缩短 (P <0 .0 5)。结果提示肺部感染和既往所患的慢性疾患是MOF发生的重要因素 ,并结合文献提出MOF的治疗对策。
The clinical features of 208 deaths from acute cerebrovascular disease complicated with multiple organ failure (MOF) were analyzed. It was found that the severity of concurrent MOF in ICH group was more severe than that in ICH group (P <0.01). The number of MOF in 60-70 years old group was significantly higher than that of 60 years old group (P <0.05). At the same time, it was found that there were more cases of MOF than those with less than 2 kinds of chronic diseases (P <0. 05) in patients with 2 or more chronic diseases in the past and MOF in patients with pulmonary infection, the severity score Were significantly higher than non-infected group (P <0.01), and the survival time was significantly shorter (P <0.05). The results suggest that pulmonary infection and the chronic disease previously suffered is an important factor for the occurrence of MOF, combined with the literature proposed MOF treatment strategies.