论文部分内容阅读
本组46例均符合王今达等制定的多器官功能障碍综合征(MODS)诊断标准;46例中男34例,女12例,平均5013岁,均有严重的原发病变。2个脏器衰竭12例,3个脏器衰竭17例,4个脏器衰竭5例,5个脏器衰竭8例,6个脏器衰竭4例。存活18例,死亡28例,病死率6087%。肺受累达40例次,首发受累15例次。其共同点:肺部受累率高,衰竭器官不一定是原发疾病损伤部位,常是远隔器官衰竭。无论外伤或内科疾病,发生衰竭器官数多与病死率成正比,而且与原发病、器管受损程度、监测手段、及早发现及早治疗等因素有关。抢救成功的重要措施包括在ICU中加强监测、早期强有力抗感染、及时和恰当复苏,外科感染或创伤病人的早期手术,各脏器的支持治疗,全身营养代谢支持及维持内环境稳定等。也是阻止病情发展恶化的积极措施
The group of 46 patients were in line with the standard of diagnosis of multiple organ dysfunction syndrome (MODS) developed by Wang Jinda and other; 46 cases of 34 males and 12 females, average 50.13 years old, have severe primary lesions. 12 cases of two organ failure, three organ failure in 17 cases, four organ failure in five cases, five organ failure in 8 cases, 6 organ failure in 4 cases. Survival in 18 cases, 28 deaths, the mortality rate of 60 87%. Lung involvement up to 40 cases, the first episode involving 15 cases. Their common ground: high lung involvement, failure of organs is not necessarily the site of primary injury, often distal organ failure. Regardless of trauma or medical disease, the number of organ failure and mortality is proportional to, and with the primary disease, organ damage, monitoring methods, early detection and early detection and other factors. Important measures for successful rescue include intensive surveillance in the ICU, early and powerful anti-infectives, timely and proper recovery, early surgery in patients with surgical infection or trauma, supportive treatment of various organs, general nutritional support and maintenance of internal environment stability. It is also a positive measure to prevent the progression of the disease