活动性肝硬化并多器官功能衰竭防治研讨

通过对２９０例活动性肝硬化并多器官功能衰竭８５例临床分析表明，活动性肝硬化患者在多器官损害某些诱因作用下可引起相应或临界器官衰竭本组病例并发ＭＯＦ８５例，发生率为２９．３％，死亡６３例，死亡率为７９．１％。

STUDY OF PREVENTION AND TREATMENT OF ACTIVE HEPATIC CIRRHOSIS WITH MOF(CLINICAL ANALYSIS ON 85 CAAES)

290 cases of active hepatic cirrhosis, of whom 85 cases of MOF, was studied. Clinical study shows that patients of active hepatic cirrhosis, affected by some certain causes, may develop MOF. In our group, of 290 cases, 85 developed MOF,with occurrence rate 29. 3 %, 63 cases died, mortality 79. 1%. Mortality was up to 100%, in these with up to four organs function failure. Frequency of organs involved was: liver, kidney, brain, gastrointestinal, hematologic and cardiac. Etiology was complexed,with infection and endotoxin being the main causes. The early recognition of MOF, comprehensive treatment of underlying diseases, infection control and diminished absorption of endotoxin, treatment any cause in time may improve prognosis.