创伤后多器官功能障碍综合征98例

摘要

目的　探讨创伤后多器官功能障碍综合 征(MODS)的特点及治疗。方法　回顾分析98例MODS患者衰竭器官数量、 治疗方法及病死率。结果　98例MODS患者共有284个器官衰竭，死亡46 例(46.9%)，其中2个器官衰竭死亡率17%，3个为44%，4个为96%；休克53例，感染42例；最 多见且最早衰竭的器官为肺(63例)。结论　(1)MODS患者衰竭器官的数 量越多，死亡率越高；(2)休克、感染为常见的促发因素；(3)积极处理原发伤，加强对 休克、感染的早期处理，全面兼顾并预防性保护各器官功能，对防治MODS有重要作用。%Objective　To discuss the characteristics and tr eatment of MODS.Methods　Retrospectively analyse the treatment and the mortality of the 98 patients with MODS.Results　In the 9 8 cases,the total number of the failure organs was 284 and 46 patients died(46.6 %).The mortality of the patients with 2 organs failure was 17%,3 organs 44%,and 4 organs 96%.Shock existed in 53 cases and 42 cases were infected.The lung was b oth the earliest and the most frequent failure ogran(63 cases).Conclusio n　(1)The more failure organs,the higher mortality is;(2)Shock and i nfection are the most predisposing factors to cause MODS;(3)Actively treating the primary injury,strenthening the early antishock and antiinfection,and prophy lactically protecting the function of each organ are all importment in the management of MODS.