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《Medical Journal of National Defending Forces in Southwest China》 2016-08
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Clinical analysis of senile severe pneumonia and multiple organ failure

Dai Xianhui;Liu Yingxun;Jiang Wenshuai;Li Kefen;Leng Ling;Department of Respiratory Medicine, Qingdao Chengyang District People's Hospital;  
Objective To summarize and analyze the clinical characteristics of senile patients with severe pneumonia and multiple organ failure to improve clinical results. Methods A total of 60 senile patients with severe pneumonia and multiple organ failure admitted to our hospital were selected and divided into the survival group and the death group according to the outcome. The BMIs, packed cell volumes, albumin levels, and multiple organ failures in the two groups was compared and the causes of death were also analyzed. Results There was no statistical difference in the BMI, corpuscular volume and albumin levels between the two groups(P 0.05). The mechanical ventilation rate in the survival group was higher than the death group; in the two groups, the pulmonary infection score 6 accounted for more than 80%; the death group with an APACHE Ⅱ score 30 was lower than that of those in the survival gruop(P 0.05). The single organ failure in the survival group accounted for 60.53%, more than four organ failure for2.63%; the percentage in the death group was 0 and 54.55% respectively. The difference was of statistical significance( P 0.05).Conclusion The death rate of senile patients with severe pneumonia and multiple organ failure is closely related to whether or not the patients are treated with mechanical ventilation and APACHE Ⅱ score. The severer the organ failure is, the higher the death rate will be.
【CateGory Index】: R563.1;R459.7
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