重症颅脑损伤并发多器官功能障碍综合征临床分析

    Clinical analysis of severe cerebral damage complicated with multiple organ dysfunction syndrome

    • 摘要: 目的:分析重症颅脑损伤并发多器官功能障碍综合征(MODS)的临床特点及防治措施。方法:对45例重症颅脑损伤(格拉斯哥昏迷评分3~11分)并发MODS患者,通过积极控制原发病,防治并发症的治疗,对其发病率、临床特点、病死率等临床资料进行回顾性分析。结果:重症颅脑损伤患者并发MODS率高(88.9%),病情重。器官功能障碍以肺、胃肠、心肾为多,受累器官为3个及3个以上者病死率均高于2个受累器官的患者(P0.01)。结论:重症颅脑损伤后易发生MODS,受累器官数目与病死率直接相关。应针对原发病进行积极有效地防治,及早进行器官功能监测,兼顾保护其他器官功能,防止发展为多器官功能衰竭。综合救治是降低病死率和改善预后的关键手段。

       

      Abstract: Objective:To analyse the clinical characteristics and prevention measures of severe cerebral damage complicated with multiple organ dysfunction syndrome(MODS).Methods:Forty-five patients with severe cerebral damage with 3 to 11 Glasgow coma scores complicated with MODS were treated with control the primary disease and prevention complications.The clinical data of incidence,clinical characteristics and mortality of all patients were retrospectively analyzed.Results:The incidence and pathogenic condition of patients with severe cerebral damage complicated with MODS were high(88.9%)and heavy respectively.Organ dysfunction of pulmonary,stomach and intestine,kidney and heart often happened.The number of organ involved was more than or equal to 3,which mortality was higher than that in patients with 2 organs involved(P0.01).Conclusions:Patients with severe cerebral damage is prone to MODS.The involved organ number is directly related to fatality rate.Treating primary disease,early monitoring organ function,protecting other organ function and prevent multiple organ function failure should be implemented.Comprehensive treatment is a key mean to reduce the mortality rate and improve the prognosis.

       

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