CAJ | 학술논문

笔者成功抢救1例重症感染合并多器官功能不全的85岁男性患者。根据文献报道和笔者的临床经验，在导致多器官功能不全的众多原因中肺部感染最为常见。老年人肺部感染诱发多器官功能衰竭预后不佳，随着患者年龄增大、功能衰竭器官数目增多，病死率增高。该例的救治成功，非常不易。临床针对此类患者，老年人肺部感染的诊断，早期、动态评估，合理的综合治疗是关键。
필자성공창구1례중증감염합병다기관공능불전적85세남성환자。근거문헌보도화필자적림상경험，재도치다기관공능불전적음다원인중폐부감염최위상견。노년인폐부감염유발다기관공능쇠갈예후불가，수착환자년령증대、공능쇠갈기관수목증다，병사솔증고。해례적구치성공，비상불역。림상침대차류환자，노년인폐부감염적진단，조기、동태평고，합리적종합치료시관건。
We reported a successful rescue of severe infection with multiple organ dysfunction in a 85-year-old male patient in this article. According to literatures and our own clinical experience, the most common cause leading to multiple organ dysfunction is lung infection. Elderly patients suffering from lung infection-induced multiple organ failure commonly have poor prognosis. What’s more, with the increase in patient’s age, the number of failured organ and mortality were elevated. It was quite difficult to rescue this case. For such patients, diagnosis of lung infection, early and dynamic assessment, and rational comprehensive therapy are key points to achieve successful rescue.