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目的:了解重型肝炎患者多系统器官功能衰竭的临床情况及对病人预后的影响。方法:确诊重型肝炎后,按病人的临床症状、体征和实验室检查结果,给每个病人的各系统器官分别进行1、2、3分的损害程度评分,肝脏损害均评3分,统计最高分值。结果:4个或4个以上系统或器官衰竭的病死率高达85%(63/74例),小于4个系统或器官衰竭的病死率为24%(12/50例),P<0.01。累计评分≥10分时,病死率100%(59/59例)。结论:重型肝炎发生多系统器官功能衰竭时,病人的预后与发生衰竭的系统器官的多少有关,累计分值越高,死亡率也越高。
Objective: To understand the clinical status of multiple system organ failure in patients with severe hepatitis and its effect on the prognosis of patients. Methods: After the diagnosis of severe hepatitis, according to the patient’s clinical symptoms, signs and laboratory test results, each patient’s system of organs were 1, 2, 3, respectively, the damage score, liver damage were rated 3 points, the highest statistics Score. RESULTS: Four or more systemic or organ failure cases had a high mortality rate of 85% (63/74 cases) and fewer than 4 cases (12/50 cases) or organ failure (P <0.01). Cumulative score ≥ 10 points, the case fatality rate was 100% (59/59 cases). Conclusions: When multiple system organ failure occurs in severe hepatitis, the prognosis of patients is related to the number of systemic organs that have failed. The higher the cumulative score, the higher the mortality rate.