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目的:探讨影响老年重症肺炎患者机械通气后短期预后的相关因素。方法:回顾性分析68例老年重症肺炎机械通气患者的临床资料。结果:死亡20例,病死率29.41%;呼吸衰竭、心力衰竭、肝功能衰竭、酸碱失衡及电解质紊乱与短期内病死率增高相关。急性生理学评分、急性生理与慢性健康估测评分较高,低格拉斯哥昏迷评分、低白蛋白血症为短期预后不良的独立预测因素。结论:老年重症肺炎机械通气患者病死率高,呼吸衰竭、心力衰竭、肝功能衰竭、酸碱失衡及电解质紊乱是影响其短期内预后的重要因素。
Objective: To investigate the related factors that affect the short-term prognosis of elderly patients with severe pneumonia after mechanical ventilation. Methods: A retrospective analysis of 68 cases of severe pneumonia in patients with mechanical ventilation clinical data. Results: There were 20 deaths and the case fatality rate was 29.41%. Respiratory failure, heart failure, liver failure, acid-base imbalance and electrolyte imbalance were associated with short-term mortality. Acute physiology scores, acute physiology and chronic health assessment score higher, low Glasgow coma score, hypoalbuminemia as independent predictors of short-term prognosis. Conclusion: Severe mortality, respiratory failure, heart failure, liver failure, acid-base imbalance and electrolyte imbalance are the important factors influencing short-term prognosis in elderly patients with severe pneumonia.