新生儿窒息与多器官功能不全临床分析

Clinical analysis on asphyxia in newburn and multiple organ dysfunction syndrome

目的 探讨新生儿窒息与多器官功能不全综合征的关系。方法 根据全国小儿急诊医学组拟定的MOF诊断标准进行临床分析。结果 2 82例新生儿窒息患儿 ,在MODS病程发展过程中部分出现一过性肝、肾、胃肠道和脑等器官功能受损的表现 ,最终进展为MODS 79例 ,占 2 8%。MODS总的病死率为43 1%。结论 MODS是重症患儿中常见病症 ;MODS进展至器官功能衰竭前存在器官功能受损的表现 。

Objective To explore the relationship between asphyxia and multiple organ dysfunction syndrome.Methods According to the diagnostic standard of multiple organ failure(MOF) formulated by national pediatric emergency group were used in clinical study.Results 282 cases of asphyxia neonatorum there were 79 cases(28%) end in multiple organ dysfunction syndrome(MODS),and fatality rate of MODS was 43.1%.Conclusion MODS is a common phenomenon in serious ill children.Before developing into MODS,most cases had existed some related organ disorders,which should be concerned and some suitable interventions given in early stage.