多脏器功能不全综合征30例临床分析

CLINICAL STUDY OF 30 MULTIPLE ORGAN DYSFUNCTION SYNDROME

目的:观察MODS的脏器衰竭数目及严重程度评分与预后的关系及探讨提高抢救成功率的治疗措施。方法：分析30例MODS患者的临床资料及治疗结果。结果：2个以下脏器衰竭的患者预后较好病死率22％；3个脏器衰竭其病死率为62．5％；4个脏器衰竭为83％，5个以上脏器衰竭为100％。MODS严重程度评分结果：大于10分者病死率为80％左右，大于15分者为100％。结论：MODS患者的病死率与脏器衰竭数目的多少及评分大小呈正相关性。集中监护与强化治疗可提高抢救成功率。

Aim The relationship between the number of organ failure numbers and in MODS, the severity of evaluation score and the prognosis is observed, so as to improve the survival rate. Methods of clinical data and therapeutic effect are analysed. Result The prognosis of less than 2 organs failure is better, and mortality 22%. The mortality of 3 organs failure is higher than 60%, 4 organs failure is 83%. If more than 5 organs the mortality is 100%. of the sevirity evaluation score of MODS is greater than 10, the mortality is 80%, and if the score 15, the mortality is 100%. Conclusion There is postive corelation between the mortality of MODS and the number of organ failure and severity evaluation score. Intensive care can improve the survival rate.