摘要
目的 通过对243例肾综合征出血热（HFRS）多器官功能衰竭愈后调查,探讨影响及产生后遗症的各种因素,指导HFRS所致多器官衰竭（MSOF）的抢救,制定减少后遗症的各种措施.方法 采用多种形式对243例患者进行回访调查,实行相关的辅助检查,采用大样本计数资料U检验与样本均数t检验,结合原有的住院病历进行分析.结果 HFRS患者治愈后,后遗症发生率为47.73％,多个系统损害的发生率为39.15％,每例最多有3个系统损害后遗症,其发生率与病情、诱因、确诊时间、循环衰竭纠正时间、使用洛赛克及受体阻滞剂、年代、器官衰竭个数、起始衰竭器官及个数、中枢神经系统功能障碍等密切相关.结论 胃肠功能衰竭是MSOF始动因素,2个器官起始衰竭是病情重信号,出现中枢神经系统功能障碍是病情危重和预后差标志.
Objective Through the 243 cases of hemorrhagic fever with renal syndrome（HFRS） of multiple organ failure after more investigation to explore the impact of various factors and generate sequelae.HFRS caused MSOF rescue guidance,to develop a variety of measures to reduce complications.Methods 243 cases of various forms on a return visit to investigate the implementation of the relevant auxiliary examination,using a large sample count data U test and the sample mean T test,combined with the original medical records were analyzed.Results HFRS patients cured,the incidence of sequelae of 47.73%,the incidence of multiple system damage 39.15%,in each case up to three system damage sequelae,its incidence and disease,incentives,diagnosis time,circulatory failure correct time,the use of Losec and blockers,age,number of organ failure,organ failure,and the starting number of central nervous system dysfunction and other closely related.Conclusion Gastrointestinal dysfunction is the initial factor MSOF,two organ failure is the starting signal severe illness,central nervous system dysfunction is in critical condition and the prognosis is poor marks.
出处
《中华实验和临床病毒学杂志》
CAS
CSCD
2014年第1期50-52,共3页
Chinese Journal of Experimental and Clinical Virology
关键词
肾综合征出血热
多器官功能衰竭
预后指标
Hemorrhagic fever with renal syndrome
Multiple organ failure
Prognosis
