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目的探讨脑卒中与并发多器官功能衰竭之间的关系,提高生存率,降低致残致死率。方法分析60例脑卒中并发多器官功能衰竭患者的临床资料,综合脑卒中所并发的多器官衰竭的具体临床症状、体征、辅助检查及采取的治疗措施和预后,探讨其发生的原因和机制。结果 60例脑卒中患者死亡50例,死亡率83.3%,多器官功能衰竭占脑卒中死亡病例的80.0%。结论脑卒中并发器官衰竭数目越多,病情越重,预后越差,死亡率越高,故治疗脑卒中同时应对高危器官及早地进行预防性干预和积极的治疗。
Objective To explore the relationship between stroke and multiple organ failure, improve the survival rate and reduce the lethal mortality rate. Methods The clinical data of 60 patients with stroke complicated with multiple organ failure were analyzed. The specific clinical symptoms, signs, auxiliary examinations, treatment measures and prognosis of stroke complicated by multiple organ failure were analyzed, and the causes and mechanisms were also discussed. Results 60 patients died of stroke in 50 patients, the mortality rate was 83.3%, multiple organ failure accounted for 80.0% of stroke deaths. Conclusions The more the number of concurrent organ failure in stroke, the more serious the disease, the worse the prognosis and the higher the mortality rate. Therefore, it is necessary to treat early-stage preventive intervention and active treatment of high-risk organs in the treatment of stroke.