25例多器官功能衰竭综合征患者临床分析

目的：探讨创伤后 ＭＯＤＳ的危险因素和防治。方法：回顾性研究了 １９９７年 ９月～１９９９年 ７月 ＳＩＣＵ收治的创伤患者 １５８例的临床资料。结果：２５例（１５． ８２％）患者发生 ＭＯＤＳ，其中 １２ 例死亡，病死率为 ４８％， 低血压、感染和 ＩＳＳ值为高危因素。 ＭＯＤＳ患者中发生低血压者 １６例（６４％），发生感染者 １９ Ｎ（７６％）。 ＭＯＤＳ死亡患者均发生过低血压（１００％），ＩＳＳ 值均≥１６。结论：对具有高危因素的患者应警惕 ＭＯＤＳ的发生，早期诊断， 正确处理是获得良好预后的关键。

Clinical analysis of 25 patients with MODS in SICU

Objective: It is to study the risk factor and treatment of post- traumatic complicated by multiple organ dysfunction syndrome (MODS). Methods: From September 1997 to July 1999, 158 patients with trauma were retrospectively analyzed. Results: There were 25 patients complicated with MODS, 12 patients died and the mortality was 48%. Low blood pressure, infection and injury seventy scalling (ISS) were the high risk factors. There were 16 patients with low blood pressure, 19 patients with infection. All death patients with MODS had low blood pressure (100% ) and ISS of all were ≥16. Conclusion: Patients with high risk factors should be paid more attention to the occurrence of MODS. Early diagnosis and adequacy treatment are good and important.