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1990—1991年收治重症肺结核并发多脏器功能衰竭患者115例;其中60岁以上老年人87例,60岁以下28例(其中44岁以下青年人9例,占7.8%)。60岁以上老年人重症肺结核并发多脏器功能衰竭的87例中,男性77例,女性10例,最大年龄86岁。Ⅱ型肺结核1例,Ⅲ型肺结核40例,Ⅳ型肺结核46例。脏器受损情况:肺受损78例次(89.7%),心受损72例次,(82.8%),肝受损58例次(66.7%),肾受损29例次(33.3%),脑受损24例次(27.6%),血管受损16例次(16.1%).胃肠受损6例次(6.9%)。病死率随受累脏器数目增多而上升。经统计学处理,2个脏器受损与4个脏器受损无显著差异(P>0.05),2个脏器受损与5个脏器受损则有显著差异(P<0.05)。
From 1990 to 1991, 115 patients with severe tuberculosis complicated with multiple organ failure were treated. Among them, 87 were older than 60 years old and 28 were below 60 years old (of which 9 were younger than 44 years old, accounting for 7.8%). Among 87 cases of severe pulmonary tuberculosis complicated with multiple organ failure in the elderly over 60 years old, 77 were male and 10 were female, the maximum age was 86 years. 1 case of type II tuberculosis, 40 cases of type III tuberculosis and 46 cases of type IV tuberculosis. Damage to the organ: 78 cases (89.7%) suffered from lung damage, 72 cases (82.8%) suffered heart damage, 58 cases (66.7%) suffered from liver damage and 29 Cases (33.3%), brain damage in 24 cases (27.6%), vascular injury in 16 cases (16.1%). Gastrointestinal damage in 6 cases (6.9%). The case fatality rate increased with the number of affected organs. There was no significant difference between the two organ damage and the four organ damage (P> 0.05), the two organ damage and the five organ damage were statistically significant (P <0 .05).