小儿特重型重型颅脑损伤并发多器官损伤

Severe Head Injury Complicated by Multiple System Organ Failure in Children

目的 本文总结了98例小儿特重型、重型颅脑损伤并发多器官功能衰竭的救治经验。方法 对二所医院二十年共同收救的小儿特重型、重型颅脑伤并发MSOF进行回顾性总结。结果 98例小儿特重型、重型颅脑伤并发MSOF存活27例(存活率27.55％),其中良好和中残24例(占24.5％),重残3例(占0.31％)合并MSOF死亡71例(死亡率72.45％)。结论 颅脑损伤的程度与并发MSOF成正比关系,积极去除病因的发生发展是有效降低死亡率、提高生存质量的重要手段。

Objective To summarize the therapeutic experiences in the management of patients with severe head injury complicated by mutiple system organ failure (MSOF). Methods Data of 98 children with severe head injury (including those whose head were exceedingly injured) complicated by MSOF were retrospectively analyzed. Results The total survival rate of this series of patients was 27.55% (27/98). Among them favourable result (but there were some patients with moderate disability) was obtained in 24 (24.5%); severe disability was seen in 3 cases. The total mortality was 72.45% (71/98) in those with severe MSOF. Conclusions There was a positive relationship between the occurrence of MSOF and the severity of brain injury. Active removal of causative agents and prevention of the occurrence of MSOF were of key importance to reducing the morality and improving the life quality of the patient.