汶川地震伤员多器官功能衰竭的救治
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摘要
目的:总结汶川地震26例多器官功能衰竭患者的临床资料,就其发病特点,治疗经过及预后进行探讨,为防治提供依据。方法:对汶川地震26例多器官功能衰竭患者的临床资料进行回顾性分析。结果:19例患者死亡,死亡率为73.1%。死亡率随着功能衰竭的器官数量增多而增高,4个及以上器官功能衰竭者死亡率为100%。结论:多器官功能衰竭预后差,死亡率高。强调对MOF的早期识别、早期诊断、早期治疗以及治疗上的统筹兼顾,防治结合。
Objective: To investigate the clinical characteristic and treatable methods of the multiple organ failure(MOF) in Wenchuan earthquake.Methods: The clinical records of the 26 patients with MOF were studied retrospectively.Results: Nineteen patients died and the mortality was 73.1%.The mortality increased along with the quantity of the organ failure,and the death rate of the patients with equal or more than 4 organs failure was 100%.Conclusion: The prognosis of the patients with MOF was bad and the death rate was high in Wenchuan earthquake.We emphasize the early recognition,early diagnose and early treatment and the treatment of overall planning and all-round consideration and prevention in combination with treatment.
Objective: To investigate the clinical characteristic and treatable methods of the multiple organ failure(MOF) in Wenchuan earthquake.Methods: The clinical records of the 26 patients with MOF were studied retrospectively.Results: Nineteen patients died and the mortality was 73.1%.The mortality increased along with the quantity of the organ failure,and the death rate of the patients with equal or more than 4 organs failure was 100%.Conclusion: The prognosis of the patients with MOF was bad and the death rate was high in Wenchuan earthquake.We emphasize the early recognition,early diagnose and early treatment and the treatment of overall planning and all-round consideration and prevention in combination with treatment.
引文
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[2]LEE C C,MARILL K A,CARTER WA,et al.Acurrent conceptof trauma-induced multiorgan failure[J].Ann Emerg Med,2001,38:170-176.
[3]Committee on Trauma Research,National Research Council,andthe Institute of Medicine.Injury in America,a continuing publichealth problem[M].Washington,DC:National Academy Press,1985:65-80.
[4]STURMJ A,WISNER D H,OESTERN HJ,et al.Increasedlung capillary permeability after trauma:a prospective clinical study[J].J Trauma,1986,26:409-418.
[5]JARDI N F,FELLAHI J L,BEAUCHET A,et al.I mprovedprognosis of acute respiratory distress syndrome 15 years on[J].Intensive Care Med,1999,25:936-941.
[6]SLUTSKY AS,TREMBLAY L N.Multiple systemorganfailure:is mechanical ventilation a contributing factor?[J]Am Rev RespirDis,1998,157:1721.
[7]GASPAROVIC V,FILIPOVIC,GRCICI,et al.Continuous renalreplacement therapy(CRRT)or intermittent hemodialysis(I HD)-What is the procedure of choice in critically ill patients?[J]RenFail,2003,25(5):855-862.
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