摘要
30年来我院共收治感染性休克242例,其中160例(66.1%)发生了多器官衰竭,败血症发生率最高,为74.1%,其次为中毒性菌痢、暴发性流脑和休克型肺炎,分别为50%,45.4%和39.3%。累及器官数目与病死率密切相关。无器官衰竭者,无1例死亡。四器官功能衰竭者病死率为86.9%,五器官衰竭者为100%。并结合文献,对感染性休克和多器官衰竭的诊断及治疗进行了讨论。
Since 1960 242 cases of infectiousShock were admitted in our hospital,among them 160 cases(66.1%)comp-licated multiple organ failure.The prevalence of multiple organfailure in the disease of septi-cemia,toxic bacterial dysentery,fulminant epidemic cerebrospinalmeningitis and shock pneumonia was74.1%,50%,45.4%.and 39.3% res-pectively.The number of organ inv-olved is related to the mortality ofpatients significantly.The mortalityof patients with four organ failurewas 86.9% and five organ involvedwas 100%.Moreover,the diagnosis-and treatment of patients with infec-tious shock and multiple organ failure was discussed as referred toscientific articles.