297例危重儿SIRS和MODS的回顾性调查

SURVERY THE TREATMENT ON 297 CASES WITH SIRS AND MODS

目的 :探讨小儿全身炎症反应综合征 (SIRS)和多器官功能不全综合征 (MODS)的临床意义。方法 :参照第二届世界儿科危重医学大会修订的SIRS和 MODS诊断标准 ,回顾性调查我院儿科 1995年 1月～ 1999年 7月收治的危重患儿 2 97例。结果 :2 97例患儿中 ,符合 SIRS标准的 10 9例 ,最终进展为 MODS者 78例 ,各占 36 .7%和 2 6 .3%。MODS的病死率为 19.2 %。结论 :SIRS和 MODS是危重病儿常见病征 ,患儿病死率高 ,若早期临床干预 ,对阻止SIRS和

To recognize the clinic significance of systemic inflammatory response syndrome(SIRS)and multiple organ dysfunction syndromes(MODS). Methods: According to the criteria of SIRS and MODS mentioned and modified by The Second World Medicine Comference on Pediatric Emergency, 197 cases were studied from Jan 1995 to July 1999. Results: Among 297 cases, 109 cases were diagnosed as SIRS, and 78(26 26%) cases of SIRS developed MODS. The mortality of MODS was 19 20%. Conclusions: SIRS and /or MODS are common with high mortality in pediatric emergency. The diagnostic criteria of SIRS and MODS are simple and practical, and giving early intervention is of great significance and can prevent multiple organs crocked up from SIRS and/or MODS.