婴幼儿肺炎与多器官功能衰竭

本文对74例婴幼儿肺炎合并多器官功能衰竭(MOF)进行了分析。提出1岁以内儿童患肺炎尤其是合并贫血、营养不良、佝偻病、先天性心脏病者易发生多器官功能衰竭。器官功能衰竭发生率最高者为心,肺、脑。本组总的病死率为41.9％。病死率随受累器管数目的增多而升高。强调了在综合疗法基础上应用血管活性药物改善器官血流灌注治疗 MOF 的重要性。

INFANTILE PNEUMONIA AND MULTIPLE ORGAN FAILURE

74 cases of infantile pneumonia complicated with multiple organ failure are an- alysed in this article.The observation suggests that children aged one and below with pneumonia,especially while complicated with anemia,malnutrition,rickets and congenital heart disease are susceptible to multiple organ failure.The highest frequ- ency of organ failure in the 74 infants with pneumonia in decresing order is the heart,the lungs and the brain.The mortality of this group is 41.9%.The more of affected organs,the higher the mortality.The importance that treating multiple organ failure by using vasoactive drugs to improve organ blood flow perfusion on the basis of combined therapy is stressed.