摘要
目的研究老年急性呼吸窘迫综合征的患者临床特点和预后相关危险因素。方法回顾性分析2017年5月至2019年4月新疆喀什地区第一人民医院接诊的老年急性呼吸窘迫综合征70例为研究对象,根据临床结局划分成2组,生存组40例,死亡组30例。综合分析2组的病历资料,总结预后的相关危险因素。结果70例患者中,生存40例,死亡30例,病死率42.86%。多因素分析发现,疾病诱因、急性生理学及慢性健康状况评分(APCAHEⅡ)、脓毒症和器官障碍数等是老年急性呼吸窘迫综合征患者预后的几个独立危险因素。结论老年急性呼吸窘迫综合征患者的预后和诸多因素密切相关,故临床应特别注意患者的APACHEⅡ评分,并尽早采取抗感染和液体复苏等疗法来对脓毒症进行治疗,以有效预防多器官功能障碍综合征,减少死亡风险。
Objective To study the clinical characteristics and prognostic risk factors of elderly patients with acute respiratory distress syndrome(ARDS).Methods Totally 70 patients with ARDS were selected from May 2017 to April 2019 in the First People's Hospital of Kashgar,Xinjiang.They were divided into two groups according to their clinical outcomes.There were 40 cases in the survival group and 30 cases in the death group.The medical records of two groups were comprehensively analyzed,the prognostic risk factors were summarized.Results Of 70 patients,the mortality rate was 42.86%.Multivariate analysis showed that disease inducement,APCAHE II score,sepsis and organ dysfunction were independent risk factors for the prognosis of elderly patients with ARDS.Conclusion The prognosis of elderly patients with ARDS is closely related to many factors.Therefore,it should pay special attention to the APACHE II score of the patient,and take anti-infective and fluid resuscitation treatments as soon as possible to treat sepsis,so as to prevent multiple organ dysfunction syndrome and reduce the risk of death.
作者
阿提开木·买买提依明
古兰白尔·阿不都热西提
ATIKAIMU.Maimaitiyiming;GULANBAIER.Abudurexiti(First People's Hospital,Kashgar,Xinjiang,Kashgar,Xinjiang 844000,China)
出处
《大医生》
2020年第1期47-49,共3页
Doctor
关键词
预后
急性呼吸窘迫综合征
临床特点
危险因素
prognosis
acute respiratory distress syndrome
clinical feature
risk factors
