胸部手术后多脏器功能障碍31例分析

Analyses of 31 Cases Multiple System Organ Dysfunction after Thoracic Surgery

总结３１例胸部手术后发生多脏器功能障碍（ＭＳＯＦ）的临床特点。显示ＭＳＯＦ发生率２３％，其中肺脏为始动脏器者２１例（６７．７％），呈序贯发病者占８７．１％；病死率５８．１％，病死率与脏器功能障碍数目、年龄、体质、手术方式和原发病控制程度及病程持续时间有关。作者提出重点应放在采取多种措施防治单个或多个脏器功能障碍，尤其是有效控制肺部感染和并发症。

This article summarizes the clinical charcteristics of 31 cases of mulitpls system organ failure(MSOF)among 135 critically ill patients under intensive mangaement after thoracic surgery in the author's hospital from Aug. 1984 to Dec, 1994.The inclence was 23%. The lung manifested as the triger organ in 21 cases (67.7%) and the classical sequential pattern of MSOF was observed in 27.The overall mortality rate amounted to 58.1%.The data shows that the numbur of organs involved, patient's age, mode of surgical procedure, preoperative general health and duration of MSOF are directhy correlated with the mortality rate.Early and active treatment of pulmonary complication with effective respiratory support and removal or control of the causes of MSOF may decrease its mortality rate.