器官功能监测与维护在多发伤治疗中的价值

为探讨器官功能监测与维护在多发伤治疗中的价值。选择８８例因严重多发伤而收入ＩＣＵ的患者，监测其心血管功能，呼吸功能，肾功能、凝血功能，内环境及感染源，并根据监测结果及时决策治疗措施。

Evaluation of organ function monitoring and supporting during the treatment of multiple trauma]

OBJECTIVE: To analyse the evaluation of organ function monitoring and supporting during the treatment of multiple trauma. METHODS: Eighty-eight patients with severe multiple trauma were admitted into Department of Intensive Care Unit(ICU) and the cardiovascular, respiratory, renal, and coagulation functions, milieu interieur, and infectious sources were monitored. RESULTS: Seventy-six cases survived and twelve cases died. The major delayed diagnoses included pneumothorax hematopneumothorax, intraperitoneal organ injury, and fracture. The major complications were severe infection, hypotension, acute renal failure, adult respiratory distress syndrome (ARDS), and multiple organ disfunction syndrome(MODS). CONCLUSION: Active monitor and support of organ function can lower the rate of missed or delayed diagnoses and also decrease complications.