摘要
目的探讨重症中暑致多脏器功能障碍的预后及影响因素。方法回顾性分析绍兴市人民医院2009年6月～2011年8月收治的29例重症中暑致MODS患者的临床资料。结果29例患者死亡14例，其中10例（71．4％）在人院24h内死亡。治愈11例；4例遗有意识障碍，生活不能自理。24h内死亡原因主要为顽固性休克，24h后死亡原因主要为多脏器功能衰竭。重症中暑并发MODS患者中，脑和呼吸系统最常被累及，分别为100％和96．6％。死亡组中伴深昏迷、休克比例明显高于好转组。结论重症中暑致MODS者死亡率高，及早识别、及时救治非常重要。
Objective To explore the outcome and influencing factors of severe heatstroke with multiple organ dysfunction syndromes （MODS）. Methods The clinical data of 29 severe heatstroke patients with MODS between Jun. 2009 and Aug. 2011 was retrospectively reviewed and analyzed. Results 14 patients （48.3%） with MODS died, and 10 of them （71.4%） died within 24 hours. 11 patients were cured （37.9%） and four patients remained the disturbance of consciousness and abiotrophy. The main cause of the death occurred within 24 hours and after 24 hours was refractory shock and MODS, respectively. The brain （100%） and respiratory system （96.6%） were commonly involved among these patients with MODS. The incidence rate of patients with deep coma, shock in the death group was significantly higher than that in the survival group. Conclusion Severe heatstroke patients with MODS have a high mortality and early recognition and treatment are important.
出处
《中国急救复苏与灾害医学杂志》
2012年第8期713-715,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
重症中暑
多脏器功能障碍
预后
Severe heatstroke
Multiple organ dysfunction syndromes
Prognosis
