摘要
目的 :探讨钩端螺旋体病 (钩体病 )合并多器官功能障碍综合征 (MODS)患者临床及预后特点并分析其预后影响因素。方法 :对本院 1992年 4月— 2 0 0 0年 4月共 4 3例钩体病合并 MODS患者的临床资料进行回顾性分析 ,采用多元对数优势线性回归分析预后影响因素。结果 :患者的病死率为 39.5 % ,平均受累脏器数目为 (4.4± 1.4 )个。在各器官功能障碍中 ,以肝脏、肾脏、代谢系统和凝血功能障碍的发生率最高。患者病死率随受累的脏器数目以及 MODS严重程度评分增加而增加 ,MODS严重程度评分 >10分是独立的预后影响因素。结论 :MODS严重程度评分 >10分可以作为早期评价钩体病
Objective:To evaluate the characteristics of the main clinical and prognostic manifestations of leptospirosis complicated multiple organ dysfunction syndrome (MODS).Methods:Fortythree patients who were admitted into and diagnosed as leptospirosis complicated MODS in our hospital from 1992 to 2000 were studied.Risk factors for death were analyzed with multivariate logistic regression.Results:The overall mortality was 39 5%.The mean number of organ dysfunction was 4 4±1 4.Dysfunctions of liver,kidney,metabolism and coagulation system were the main complications.With the rise of number of organ dysfunction or the score of MODS,the mortality became higher.Multivariate analysis revealed that MODS score>10 was the only independent factor for death.Conclusions:MODS score exceeding 10 can be used to early identify the prognosis early of MODS in leptospirosis.
出处
《中国危重病急救医学》
CAS
CSCD
2002年第5期288-289,共2页
Chinese Critical Care Medicine
