297例危重儿SIRS和MODS的回顾性调查

目的：探讨小儿全身炎症反应综合征（ＳＩＲＳ）和多器官功能不全综合征（ＭＯＤＳ）的临床意义。方法：参照第二届世界儿科危重医学大会修订的ＳＩＲＳ和ＭＯＤＳ诊断标准，回顾性调查我院儿科１９９５年１月～１９９９年７月收治的危重患儿２９７例，结果：２９７例患儿中，符合ＳＩＲＳ标准的１０９例，最终进展为ＭＯＤＳ者７８例，各占３６．７％和２６．３％。ＭＯＤＳ的病死率为１９．２％。结论：ＳＩＲＳ和ＭＯＤＳ是危重病

SURVERY THE TREATMENT ON 297 CASES WITH SIRS AND MODS

To recognize the clinic significance of systemic inflammatory response syndrome(SIRS)and multiple organ dysfunction syndromes(MODS). Methods: According to the criteria of SIRS and MODS mentioned and modified by The Second World Medicine Comference on Pediatric Emergency, 197 cases were studied from Jan 1995 to July 1999. Results: Among 297 cases, 109 cases were diagnosed as SIRS, and 78(26 26%) cases of SIRS developed MODS. The mortality of MODS was 19 20%. Conclusions: SIRS and /or MODS are common with high mortality in pediatric emergency. The diagnostic criteria of SIRS and MODS are simple and practical, and giving early intervention is of great significance and can prevent multiple organs crocked up from SIRS and/or MODS.