Analysis of the first failure organ and sequential failure on mutiple organ failure in the elderly

VernacularTitle:老年多器官衰竭首发器官及序贯分析
Author: Guiping ZHAO ; Jingsong LIU ; Gang WU ; Liji WU
Publication Type:Journal Article
Keywords: Multiple organ failure; Aged; Sequential failure; Survival time
From: Chinese Journal of Postgraduates of Medicine 2010;33(28):17-20
CountryChina
Language:Chinese
Abstract: Objective To provide a scientific basis for early clinical diagnosis and treatment as well as secondary and tertiary protection through 10 years inquiry of multiple organ failure in the elderly(MOFE).Results Among 153 MOFE cases,the first inducement of 89.5%(137/153) patients was infection,among which 93.4% (128/137) was pulmonary infection.The vertical percentage of the first failure organ was as follows: pulmonary (39.0%,60/154),heart (19.5%,30/154),brain (14.9%,23/154),kidney (10.4%,16/154),alimentary canal (8.4%,13/154),liver (6.5%,10/154);while the horizontal percentage was as follows: pulmonary (42.9%,60/140),heart (40.9%,56/137),kidney (32.6%,30/92),brain (21.9%,23/105),alimentary canal ( 14.5%,9/62).The survival time of the first organ failure from shortness to length was as follows: pulmonary,brain,heart,kidney.Conclusions Most MOFE cases have pulmonary failure at first.The organs failure sequence is pulmonary,heart,brain and kidney in order.