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作者回顾性总结本院ＳＩＣＵ１９９２年１月至１９９５年９月救治的２２９例普外危重症，平均年龄为５７．８７±１６．１２岁；男１４１例，女８８例；ＡＰＡＣＨＥ－ＩＩ积分１０～３３分，平均１８．０５±５．３３分。主要原发病为胰腺疾病９３例、肝胆疾病４５例、胃肠和其他疾病６９例、严重复合伤２２例。其中腹腔感染１１９例和全身感染８９例。器官合并症属呼吸系的１１５例、心血管９１例、胃肠道３７例、肾功能障碍３０例、肝功障碍２５例、出凝血障碍１７例和中枢神经系障碍８例，其中ＭＯＤＳ１０２例。通过改善氧代谢为目标的器官功能支持，把再手术清除感染灶作为遏制高分解代谢，恢复正氮平衡，防治ＭＯＤＳ的重点措施。使病死率降为２３．６％（５４／２２９），比预计病死率（３０．７％）降低７．１％。ＭＯＤＳ病死率为４９％（５０／１０２）。
The authors retrospectively reviewed 229 cases of general critically ill critical illness treated in our hospital from January 1992 to September 1995, with an average age of 57.87 ± 16.12 years; 141 males and 88 females; and APACHE-II scores of 10 ~ 33 points, an average of 18.05 ± 5.33 points. The main primary disease was 93 cases of pancreatic disease, 45 cases of hepatobiliary disease, gastrointestinal and other diseases in 69 cases, 22 cases of severe combined injury. 119 cases of abdominal infection and systemic infection in 89 cases. Organ complications were 115 cases of respiratory system, 91 cases of cardiovascular, gastrointestinal tract in 37 cases, 30 cases of renal dysfunction, liver dysfunction in 25 cases, 17 cases of coagulation disorders and 8 cases of central nervous system disorders, of which 102 cases of MODS. Through the improvement of oxygen metabolism as the target of organ function support, the removal of infection by reoperation as a focal point to curb high catabolism, restore positive nitrogen balance, prevention and treatment of MODS. The mortality rate was reduced to 23.6% (54/229), which was 7.1% lower than the estimated case fatality rate (30.7%). MODS mortality was 49% (50/102).