本文選題：急性呼吸窘迫綜合征 + ��； 參考：《中國(guó)老年學(xué)雜志》2017年03期

【摘要】：目的探討老年急性呼吸窘迫綜合征(ARDS)患者臨床特點(diǎn)及預(yù)后相關(guān)危險(xiǎn)因素。方法 92例老年ARDS患者的臨床資料,根據(jù)患者臨床結(jié)局不同分為生存組與死亡組,多因素Logistic回歸分析老年ARDS患者預(yù)后相關(guān)危險(xiǎn)因素,并對(duì)出院患者進(jìn)行隨訪跟蹤,搜集其結(jié)局資料。結(jié)果 92例老年ARDS患者經(jīng)積極治療后生存50例,死亡42例,病死率45.65%。多因素Logistic回歸分析發(fā)現(xiàn),老年ARDS患者預(yù)后相關(guān)危險(xiǎn)因素有急性生理與慢性健康(APACHE)Ⅱ評(píng)分(OR=3.248,P=0.014)、器官障礙數(shù)目(OR=3.410,P=0.013)、ARDS誘因(OR=2.728,P=0.045)及膿毒癥嚴(yán)重程度(OR=3.523,P=0.009),住院時(shí)APACHEⅡ評(píng)分不同的患者出院后1~2年后良好結(jié)局率略有不同。結(jié)論臨床上對(duì)于老年ARDS患者,尤其是肺源性ARDS患者,應(yīng)關(guān)注APACHEⅡ評(píng)分,早期采取液體復(fù)蘇及抗感染治療膿毒癥,并盡早做到全面的診斷和處理,防止多器官功能障礙綜合征的發(fā)生。
[Abstract]:Objective to investigate the clinical characteristics and prognostic risk factors of elderly patients with acute respiratory distress syndrome (ARDS). Methods 92 elderly patients with ARDS were divided into survival group and death group according to their clinical outcomes. Multivariate logistic regression analysis was conducted to analyze the prognostic risk factors in elderly patients with ARDS and follow up the discharged patients. Collect information about the outcome. Results of 92 patients with ARDS, 50 survived, 42 died, and the mortality rate was 45.65. Multivariate logistic regression analysis showed that, The prognostic risk factors of elderly patients with ARDS were acute physiological and chronic health (Apache) 鈪，

本文編號(hào)：2081771