严重胸外伤合并多器官功能不全的临床诊治

Clinical Characteristics and Emergency Treatment of Multiple Organ Disorder Syndrome Following Severe Thoracic Trauma

目的:探讨严重胸外伤合并多器官功能不全的临床表现和救治,以提高其治疗效果。方法:回顾分析我院胸心外科监护室从2000年2月～2007年8月收治的23例严重胸外伤合并多器官功能不全病例的资料,研究其临床特点、救治以及预防措施。结果:该组病例多器官功能不全的发生率占严重胸外伤的比例为8.4%,主要为脑、心、肺、肾和消化应激性溃疡出血等多器官功能不全,在一系列积极的抢救措施下仍有7例死亡,死亡率为30.4%。结论:严重胸外伤合并多器官功能不全来势凶险,病情危重,对可能发生多器官功能不全的患者要采取积极的防治措施,以降低MODS的发生率和死亡率。

Objective. To discuss clinical characteristics and emergency treatment of Multiple organ disorder syndrome complicating severe thoracic trauma so as to improve the effect of treatment. Method.23 cases with multiple organ disorder syndrome following severe thoracic trauma were reviewed and cinical characteristics and emergency treatment and prevention were mainly studied. Result： The incidence of multiple organ disorder syndrome was 8.4 %, which mainly occurred in encephalon, cardio, lump, licer, renal and acute gastroduodenal ulcers although with series hard treatment, 7 cases died, the total mortality is 30. 4%. Conclusion： The patients with multiple organ disorder syndrome following severe thoracic trauma were in dangerous and the patients who might be with multiple organ disorder syndrome must be treated and prevented effectively in order to reduce the occurrence and mortality of multiple organ failure.