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目的评价老年多器官功能不全综合征(MODSE)多学科综合救治模式的效果。方法有效利用医院各学科技术优势,采用多学科协作的团队工作方式,建立MODSE多学科综合救治模式,并应用MODSE多学科综合救治模式救治45例MODSE患者。结果45例MODSE患者中救治成功39例:29例存在2～3个器官功能衰竭的患者均救治成功;12例存在4个器官功能衰竭的患者救治成功8例;2例存在5个器官功能衰竭的患者救治成功1例;2例心肺复苏后存在6个器官功能衰竭的患者救治成功1例;死亡6例。结论MODSE多学科综合救治模式能够有效动员多学科积极主动参与、强调会诊时效性和连续性、体现多学科救治患者的共同责任、及时充分利用多学科先进救治技术,使MODSE患者及时得到最佳救治,从而达到早期发现衰竭器官和及时改善衰竭器官功能、提高MODSE抢救成功率的目的。
Objective To evaluate the effect of multidisciplinary treatment of senile multiple organ dysfunction syndrome (MODSE). Methods Effective utilization of the technical advantages of various disciplines in the hospital, using multidisciplinary teamwork, MODSE multidisciplinary comprehensive treatment model was established and 45 MODSE patients were treated with MODSE multidisciplinary comprehensive treatment model. Results Of 45 patients with MODSE, 39 patients were successfully treated: 29 patients with 2-3 organ failure were successfully treated, 12 patients with 4 organ failure were treated successfully, 8 patients had 2 organ failure Of patients were successfully treated in one case; two patients with six organ failure after cardiopulmonary resuscitation were successfully treated in one case and six died. Conclusion MODSE multidisciplinary comprehensive treatment mode can effectively mobilize multidisciplinary active participation, emphasizing the timeliness and continuity of consultation, reflecting the common responsibility of multidisciplinary treatment of patients, timely and make full use of multidisciplinary advanced treatment technology, so that MODSE patients in time for the best treatment , So as to achieve the purpose of early detection of failing organs and timely improvement of the function of failing organs and improving the success rate of MODSE rescue.