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重症肺结核并发多脏器功能衰竭危险因素分析

Analysis of the risk factors for serious pulmonary tuberculosis with multiple organ failure
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摘要 目的 探讨重症肺结核并发多脏器功能衰竭 (MOF)的危险因素。方法 回顾性总结 76 1例肺结核并发多脏器功能衰竭的发生率与病死率 ,并对重症肺结核发生多脏器功能衰竭 (MOF)的原因进行单因素和多因素Logistic回归分析。 结果 肺结核并发MOF ,病死率达 5 3 8%;单因素分析显示患者年龄大、并发症多、长期缺氧、低蛋白血症等与重症肺结核并发多脏器功能衰竭有关 ;多因素分析显示重症肺结核并发脏器功能衰竭的危险因素是合并感染或其它疾病。结论 合并感染或其它疾病是肺结核并发多脏器功能衰竭的危险因素 ,而低氧血症。 Objective To discuss the risk factors for serious pulmonary tuberculosis with multiple organ failure(MOF). Methods Incidence and mortality of 761 cases of pulmonary tuberculosis with multiple organ failure were retropectively studied.Univariate analysis and multivariate analysis examined risk factors associated with multiple organ failure.Results The mortality of MOF was 53.8%;Univariate analysis showed that eld, complications, hypoxia, low blood serum protein were potential risk factors.In a multivariate model, complications were the only independent risk factor.Conclusion Complications were the risk factor for serious pulmonary tuberculosis with multiple organ failure, the others played the important role in serious pulmonary tuberculosis with multiple organ failure.
出处 《重庆医学》 CAS CSCD 2003年第1期47-48,共2页 Chongqing medicine
关键词 肺结核 多脏器功能衰竭 危险因素 合并症 MOF 诊断标准 tuberculosis pulmonary multipoe failure risk factor
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