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老年多器官功能衰竭(MOFE)是一个有别于一般多器官功能衰竭(MOF)的独立的临床综合征。老年人肺心病的病死率高,与其并发MOFE有关,本文155例老年人肺心病患者中,并发MOFE者46例。其特征是慢性肺心病病程长,以支气管肺部感染为诱发因素,MOFE的衰竭器官的首发顺序为心肺两器官,病死率随受累器官的数目增加而上升,年龄亦影响病死率。因此,老年人肺心病并发MOFE的发生具有一定的可预测性,关键在于尽早识别和预防性治疗。
Multiple organ failure in the elderly (MOFE) is an independent clinical syndrome that is distinct from general multiple organ failure (MOF). Elderly pulmonary heart disease mortality, and its concurrent MOFE, 155 cases of elderly patients with pulmonary heart disease, complicated by the 46 cases of MOFE. It is characterized by a long duration of chronic pulmonary heart disease, bronchial and pulmonary infection as a predisposing factor, MOFE failure of the first order of organs for the heart and lung organs, fatality rate increased with the number of affected organs increased, and age also affect the case fatality rate. Therefore, the occurrence of pulmonary heart disease in elderly patients with MOFE has some predictability, the key lies in the early identification and prophylactic treatment.