肺结核患者合并多器官功能障碍综合征45例临床分析

中国防痨杂志 ›› 2008, Vol. 30 ›› Issue (2): 99-100.

肺结核患者合并多器官功能障碍综合征45例临床分析

王巍；王仲元；王安生；林明贵；王金河；刘琳；张韬；

解放军总医院第二附属医院全军结核病研究所北京 100091；

出版日期:2008-02-10 发布日期:2011-11-03

Clinical analysis of severe pulmonary tuberculosis with multiple organ dysfunction syndromes

Wang Wei,Wang Zhongyuan,Wang Ansheng,et al.

Research Institute of Tuberculosis of PLA,Secondly Affiliated Hospital of General Hospital of PLA,Beijing 100091,China

Online:2008-02-10 Published:2011-11-03

摘要/Abstract

摘要： 目的　探讨肺结核患者合并多器官功能障碍综合征(MODS)临床特点和死亡原因。方法总结分析了7年来研究所收治的45例肺结核患者合并多器官功能障碍综合征资料。结果肺脏损害最常见,为45例(100%),其次为肝脏31例(68.9%),肾脏18例(40.0%),脑16例(35.6%),心脏14例(31.1%),胃肠10例(22.2%)。死亡34例(75.6%),主要诱因为感染。死亡原因主要是呼吸衰竭,感染性休克和ARDS。结论早预防、早发现、综合治疗MODS有助于降低重症结核死亡率。

关键词: 结核,肺, 多器官功能障碍综合症

Abstract: Objective To study the clinical feature and the cause of death in pulmonary tubercu- losis with multiple organ dysfunction syndromes.Methods To review and analyze of 45 cases of pulmonary tuberculosis with multiple organ dysfunction syndrome in research institute in the last 7 years.Results Damage of lungs(100%)was the most common feature;followed by damage in liver(68.8%),kidney (40.0%),brain(35.5%),heart(31.1%)and gastrointestinal(22.2%). Thirty-four patients were died.The main inducement was infection.The death cases mostly were respiratory failure,infectious shock and ARDS.Conclusions The early prevention and diagnosis, and integrated therapy are helpful in reducing mortality of severe pulmonary tuberculosis with mul- tiple organ dysfunction syndromes.

Key words: Pulmonary tuberculosis, Multiple organ dysfunction syndrome(MODS)

王巍,王仲元,王安生,林明贵,王金河,刘琳,张韬,. 肺结核患者合并多器官功能障碍综合征45例临床分析[J]. 中国防痨杂志, 2008, 30(2): 99-100.

Wang Wei,Wang Zhongyuan,Wang Ansheng,et al.. Clinical analysis of severe pulmonary tuberculosis with multiple organ dysfunction syndromes[J]. Chinese Journal of Antituberculosis, 2008, 30(2): 99-100.