摘要
目的 :观察腹主动脉瘤患者手术后全身炎症反应 (SIRS)及单个 /多器官功能障碍 (S/MODS)发生率。方法 :随机选择消化道肿瘤择期手术病例 2 1例 (组 1) ,腹主动脉瘤 16例 (组 2 ) ,根据术后 3d内出现的临床症状、体征及实验室检查结果对照判断SIRS及S/MODS发生率。结果 :组 1SIRS发生率为 14.3% ,低于组 2的 81.3% ;组 1S/MODS发生率为 4.8% ,低于组 2的 6 2 .5 %。器官功能障碍主要出现在肺及肾脏。结论 :腹主动脉瘤患者术后SIRS及S/MODS发生率显著高于消化道肿瘤患者。
Objective: To evaluate the incidence of systemic inflammatory response syndrome (SIRS) and single/multiple organ dysfunction syndrome (S/MODS) in patients who underwent aneurysmectomy. Methods: 21 patients with carcinectomy of alimentary system (group 1) and 16 patients with abdominal artery aneurysmectomy (group 2) were randomly sampled for study. The clinical manifestations, signs and lab tests within 3 days after surgery were closely observed to evaluate the incidence of SIRS and S/MODS. Results: The incidence rates of SIRS and S/MODS in the carcinectomy group were 14.3% and 4.8%, which were significantly lower than those of the aneurysmectomy group (81.3% and 62.5%). It seemed organ dysfunction mainly occurs in the lungs and kidneys . Conclusion: Patients with abdominal artery aneurysmectomy have higher incidence rates of SIRS and S/MODS than those with carcinectomy of alimentary system.
出处
《海军医学杂志》
2001年第2期119-121,共3页
Journal of Navy Medicine
关键词
动脉瘤切除术
全身炎症反应
多器官功能障碍
aneurysmectomy
systemic inflammatory response syndrome
single/multiple organ dysfunction syndrome
