多器官功能障碍综合征临床决策中的辩证思维观

Dialectical thinkingin clinical decisionfor multiple organ dysfunction syndrome

多器官功能障碍综合征（MODS）是重症患者最常见的死因，近年来MODS诊断和治疗取得了令人瞩目的进展，及早诊断和规范、高质量的生命支持治疗极大改善了MODS患者的预后。临床上MODS患者病情往往复杂多变，要求在极短时间内做出正确的临床决策，科学理性的临床决策思维对MODS患者的合理诊治起着非常重要的指导作用。临床医师应努力学习和充分灵活地运用辩证思维，为对MODS进行科学的临床诊疗决策提供合理的思路。

Multiple organ dysfunction syndrome （MODS） isthe most common cause of death forcritically ill patients.Recently, remarkable progress hasbeenmadeinthe diagnosis and treatment of MODS,andearly diagnosis and standardand high-qualitylife support therapygreatly improvetheprognosis of patients with MODS. Nevertheless,patients’ condition is complex and variable clinically,andphysicians are often required to make correct clinical decisions within a very short period of time. In fact, itis very important to establish a scientificandrationalthinking for MODS, which could efficiently guide the appropriate diagnosis and treatment forthepatients. Clinical physicians should strive to learn the dialectical thinking hardlyand useit fullyand flexiblyin order to provide a rational thought for scientific clinical decision for the diagnosis and treatment of MODS.