摘要
目的探讨重型颅脑损伤患者术后合并多脏器功能失常综合征(MODS)的规律性,提高重型颅脑损伤患者术后合并MODS的抢救成功率。方法分析125例重型颅脑损伤术后合并MODS患者的原因及临床特点。结果(1)颅脑损伤程度愈轻、预后愈好;(2)预防、早期诊断治疗以及在神经外科重症监护室(NICU)内治疗可以改善预后;(3)MODS累及器官数目与预后关系不密切。结论降低重型颅脑伤合并MODS的发生率、提高重型颅脑伤合并MODS抢救成功率的关键在两个方面:(1)积极控制颅脑伤情(原发病);(2)必须加强MODS预防及早期诊断治疗。
Objeetive To investigate the regularity of multiple organ dysfunction syndrome （MODS） following severe craniocerebral injury after operation,and to elevate the rescue achievement ratio. Methods We analyzed the cause and clinical characteristics of 125 cases of MODS following severe craniocerebral injury after operation. Results （1） The degree of head injury is light, the prognosis is better. （2） Precaution , early diagnosis and therapy, and to cure in neurosurgery intensive care unit（NICU） can improve its prognosis. （3） No close relationship can be found between the number of the organs which MODS involved and its prognosis. Conclusion There are two key points we must emphasise to cut down the incidence rate and elevate the rescue achievement ratio of the patients with MODS following severe craniocerebral injury： （1） handle the head injury（primary disease） actively, （2） strengthen the precaution,early diagnosis and theraov to MODS.
出处
《重庆医学》
CAS
CSCD
2005年第11期1625-1626,共2页
Chongqing medicine
