重症胸外伤合并多器官功能失常的临床特点和救治

目的探讨重症胸外伤合并多器官功能失常综合征的临床特点和救治，以提高其治疗效果。方法回顾分析该院外科监护室从2001年1月-2005年6月收治的12例重症胸外伤合并多器官功能失常病例的临床资料，着重研究其临床特点、救治以及预防措施。结果该组多器官功能失常的发生率占重症胸外伤的比例为8．2％，主要为脑、心、肺、肝、肾和消化应激性溃疡出血等多器官功能失常，在一系列积极的抢救措施下仍有5例死亡，死亡率为41．6％。结论重症胸外伤合并多器官功能失常来势汹险，病情危重，对具有多器官功能失常可能的患者要采取积极的预防和救治措施，以降低MODS的发生率和死亡率。

Clinical characteristics and emergency treatment of multiple organ disorder syndrome following severe thoracic trauma

[Objective] To discuss clinical characteristics and emergency treatment of Multiple organ disorder syndrome complicating severe thoracic trauma so as to improve the effect of treatment. [Methods] 12 cases with multiple organ disorder syndrome following severe thoracic trauma were reviewed and clinical characteristics and emergency treatment and prevention were mainly studied. [Results] The incidence of multiple organ disorder syndrome was 8.2%, which mainly occurred in encephalon, cardio, lump, liver, renal and acute gastroduodenal ulcers. Although with series hard treatment, five cases died, the total mortality is 41.6%. [Conclusion] The patients with multiple organ disorder syndrome following severe thoracic trauma were in dangerous and the patients who might be with multiple organ disorder syndrome must be treated and prevented effectively in order to reduce the occurrence and mortality of multiple organ failure.