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报告1例因多发性骨折,内出血达1万毫升以上引起呼吸、中枢神经、血液、心血管、肾脏和肝脏6大系统不同程度衰竭的病例,经过3周的积极抢救,成功地攻克了休克,水电解质紊乱和多器官功能不全综合征(MODS)等难关,使病人获救。总结其成功的经验有:(1)重点控制原发病,提高组织氧供给。(2)动态监护,全面兼顾并预防性保护各器官功能。(3)支持营养与免疫。(4)正确解决巨大内出血、均衡入与出的矛盾。(5)周密组织,充分发挥多科专家教授的协同会诊使用。
Reported 1 case of multiple fractures, bleeding caused by more than 10,000 ml caused by respiratory, central nervous system, blood, cardiovascular, kidney and liver failure in 6 major systems of varying degrees, after 3 weeks of active rescue successfully overcome the shock, Water and electrolyte disorders and multiple organ dysfunction syndrome (MODS) and other difficulties, the patient was rescued. Summarized the success of the experience are: (1) focus on controlling the primary disease, improve tissue oxygen supply. (2) dynamic custody, comprehensive and preventive protection of various organ functions. (3) support nutrition and immunization. (4) the correct solution to the huge internal bleeding, balance into and out of the conflict. (5) well-organized, give full play to multi-disciplinary experts and professors use the consultation consultation.