摘要通过回顾分析95例胸腹部创伤重症患者的临床护理资料,探讨胸腹部外伤重症患者继发多器官功能障碍综合征(Multiple organ dysfunction syndrome,MODS)的预防及护理方法。胸腹部创伤患者MODS的预防及护理重点是建立科学、合理的MODS预测指标,早期复苏,积极控制感染,加强对病情及器官功能监测,加强全身营养支持。
1Patel A,Weintraub JL, Nowakowski FS, et al. Single-- cen ter experience with elective transcatheter coil embolization of splenic artery aneurysms: technique and midterm follow --up [J]. J Vasc Interv Radiol,2012,23(7) :893-899.
2Li Y, Cui L, Zhang W, et al. Laparoscopic radiofrequency ab- lation for traumatic splenic rupture -J3. J Surg Res, 2013, 185(2) 711-716.
3Cheju I,Venter MD,Beuran M,et al. Grade IV blunt splen ic injury--the role of proximal angioembolization. A case re port and review of literature [J]. J Med Life, 2013,6 (4) 369-375.
4Liu PP, Liu HT, H sieh TM, et al. Nonsurgical management of delayed splenic rupture after blunt trauma [J]. J Trauma Acute Care Surg, 2012,72 (4) : 1019-1023.
5Burkhardt M ,Nienaber U ,Pizanis A,et al. Acute management and outcome of multi- ple trauma patients with pelvic disruptions [J]. Crit Care,2012,16 (4):R163. doi: 10.1186/ec 11487.
6Williams JP,McBride WH. After the bomb drops:A new look at radiation-in- duced multiple organ dysfunction syn- drome (MODS) [J]. Int J Radiat Biol, 2011,87 (8):851-$65. doi:10.3109/ 09553002.2011.560996.
7Andruszkow H,Fischer J,Sasse M,et al. Interleukin-6 as inflammatory marker re- ferring to multiple organ dysfunction syn- drome in severely injured children [J]. Scand J Trauma Resusc Emerg Med, 2014 ;22 : 16. doi: 10.1186/1757 -7241 - 22-16.
8Rey C, Garcia-Hern~mdez I, Concha A, et al. Pro -adrenomedullin, pre -endothelin - 1 ,procalcitonin,C-reactive protein and mortality risk in critically ill children:a prospective study [J]. Cfit Care,2013,17 (5) :R240. doi: 10.1186/ce13064.
