创伤后多器官功能不全综合征

本文重点阐述创伤后多器官功能不全综合征（MODS）的高危因素、发生机制及普遍的临床特征、诊断指标、分期、预防与治疗。强调应重视MODS的本质及连续变化的过程,其早期变化具有极大的隐蔽性,也正是此期才是治疗的最佳时机;目前的诊断标准并不是治疗开始的依据,只要有产生MODS的诱因和倾向均应及早采取对策。因此,对MODS而言,最好的治疗莫过于预防,预防有事半功倍的效果。

A review of post-injury multiple organ dysfunction syndrome

This article reviewed mainly the high risk factors and mechanism of MODS,as well as its pathogenesis,common clinical features,diagnostic parameters,stages,prevention and therapy.Recognition of the intrinsic features and continuous process of MODS should be emphysized.There is an extremely masked manifestation in early state of MODS,however,it is in this stage that an optimal therapeutic outcome will be obtained,Therefore,the present diagnostic standard is not the evidence to start treatment.The early therapeutic strategy for treatment of this condition should be applied if the induced factors will lead to MODS,and appearance of trend of MODS.The evidence suggests that expedient and appropriate early treatment of trauma in most instances protects against the development of post injury MODS.The best and most effective therapeutic treatment for trauma patients with MODS is the prevention of it.