摘要
作者回顾性总结本院ＳＩＣＵ１９９２年１月至１９９５年９月救治的２２９例普外危重症，平均年龄为５７．８７±１６．１２岁；男１４１例，女８８例；ＡＰＡＣＨＥ－ＩＩ积分１０～３３分，平均１８．０５±５．３３分。主要原发病为胰腺疾病９３例、肝胆疾病４５例、胃肠和其他疾病６９例、严重复合伤２２例。其中腹腔感染１１９例和全身感染８９例。器官合并症属呼吸系的１１５例、心血管９１例、胃肠道３７例、肾功能障碍３０例、肝功障碍２５例、出凝血障碍１７例和中枢神经系障碍８例，其中ＭＯＤＳ１０２例。通过改善氧代谢为目标的器官功能支持，把再手术清除感染灶作为遏制高分解代谢，恢复正氮平衡，防治ＭＯＤＳ的重点措施。使病死率降为２３．６％（５４／２２９），比预计病死率（３０．７％）降低７．１％。ＭＯＤＳ病死率为４９％（５０／１０２）。
Abstract During Jan. 1992 and Sep. 1995, 229 critical surgical cases were treated in our SICU including 141 male and 88 female cases with an average age of 57. 87 years. The primary diseases were of pancreas in 93,hepatobiliry system in 45,GI in 69, and serious in 22. Complications included intraabdominal infection in 119, systemic infection in 89. One hundred and fifteen cases suffered from respiratory failure, 91from cardiovascular failure. 37 from GI failure, 30 from renal failure, 25 from liver failure. 17irom severe coagulopathy ,and 8 from CNS failure. Of all 229 case, 102 complicated with MODS. Treatment was aimed at improving oxygenation ,controlling infection including surgical measures, and metabolic support. Mortality rate was 23.6% ,and that in MODS cases was 49%.
出处
《普外临床》
CSCD
1996年第2期107-109,共3页
