新生儿休克合并多脏器功能衰竭的临床分析

CLINICAL ANALYSIS OF MULTIPLE ORGAN SYSTEM FAILURE IN NEONATAL SHOCK

本文观察新生儿休克147例。合并多脏器功能衰竭（MOSF）115例，占78．2％。随休克评分增加，血浆儿茶酚胺、肾素、血管紧张素浓度增加，器官损伤数和病死率随之增加，血压则逐渐降低。器官损伤以肺损伤占首位，心功能受损次之，提示在抢救休克过程中积极防治呼吸衰竭和保护心功能是减少休克死亡的重要措施，血压降低非交感神经活性物质分泌衰竭所致。

To study multiple organ system failure(MOSF) in neonatal shock, 147 cases were inves-tigated. There were 115 cases with MOSF, 78. 2 persent of all. Concentration of plasma cate-cholamine(CA),renin (RA), angiotensin Ⅱ(A Ⅱ),the number of organ damage and case fa-tality rate increased with elevation of shock score but blood pressure. The lungs damage isthe first in all organs and the heart dysfunction the second,The results indicated that preven-tion of heart function are the main method in decreasing neonatal shock death.