伴呼吸衰竭的多器官功能障碍综合征46例临床分析  

Clinical Analysis of 46 Cases With Multiple Organ Dysfunction Syndrome With Respiratory Failure

作　　者：余世全[1] 刘励军[1] 邱菁华[1] 华晨[1] 徐波[1] 徐志平[1] 

机构地区：[1]苏州大学附属第二医院,苏州215004

出　　处：《内科急危重症杂志》2004年第2期78-80,共3页Journal of Critical Care In Internal Medicine

摘　　要：目的 :探讨伴发呼吸衰竭的多器官功能障碍综合征 (MODS)患者的临床特征及预后。方法 :对 4 6例伴发呼吸衰竭的MODS患者分为存活组 (2 2例 )与非存活组 (2 4例 ) ,比较两组患者的临床特征并分析影响患者预后的因素。结果 :病死率 5 2 .2 % ;器官衰竭数目、APACHEⅢ评分及APS评分 ,机械通气时间等因素与伴发呼吸衰竭的MODS患者的病死率关系显著 (P <0 .0 5 )。结论 :针对伴发呼吸衰竭的MODS病死危险因素进行积极处理 。Objective: To study the clinical characteristics and outcome in patients with multiple organ dysfunction syndrome (MODS) with respiratory failure. Methods: Fourty-six MODS patients with respiratory failure were divided into survival group (22 patients ) and nonsurvival group (24 patients). Clinical characteristics were compared and predictors for prognosis were investigated. Results: The overall mortality of patients with MODS with respiratory failure was 52.2%; the number of organ failure, APACHE Ⅲ score and APS score, time of mechanical ventilation showed significant relations with the mortality of patients with MODS with respiratory failure(P< 0.05). Conclusion: Prevention of the risk factors may play a key role in decreasing mortality of MODS with respiratory failure.

关 键 词：多器官功能障碍综合征 呼吸衰竭 预后因素 

分 类 号：R563.8[医药卫生—呼吸系统]