严重多发伤致MODS分期诊断与临床意义  

Clinical significance of diagnostic classification for MODS caused by severe multiple trauma

作　　者：耿志坚[1] 李晓斌[1] 方立德[1] 乔庆[1] 李强[1] 徐亮[1] 

机构地区：[1]上海市浦东新区公利医院外科,上海200135

出　　处：《中国普通外科杂志》2005年第7期529-531,共3页China Journal of General Surgery

摘　　要：目的探讨严重多发伤致多器官功能不全综合征(MODS)的分期诊断标准及临床意义。方法总结严重多发伤(ISS>20分)所致的MODS132例的临床资料。结果根据MODS分期诊断标准(庐山会议),死亡的27例(24.7%)中,I期1例(3.9%),II期7例(15.6%),III期9例(45%),IV期10例(90.9%)。其分期不同预后不同。MODS的发生率随着高分值伤情程度的增加而递增,功能衰竭器官越多,死亡率越高。结论MODS的分期诊断具有较大的临床意义,是临床医生对MODS早期诊断、早期治疗的重要依据。ObjectiveTo investigate the criteria and clinical significance of diagnostic classification of multiple organ dysfunction syndrome(MODS) in patients with severe multiple trauma. MethodsThe clinical data of 132 cases of MODS resulted from severe multiple trauma(ISS>20) were analyzed.ResultsMODS was staged according to 'Lu shan conference' diagnostic criteria.In this group of patients there were 27 deaths(24.7%),of which 1 patient(3.9%) was stage I,7 patients(15.6%) stage II,9 patients(45%) stage III,and 10 patients(90.9%) stage IV.Prognosis varied with stage of MODS.The incidence of MODS increased with higher scores of body injury, and mortality rate increased with the increase of the number of failured organs.Conclusions The diagnostic classification of MODS has obvious clinical significance. It (provides) clinicians with an important basis for early diagnosis and treatment of MODS.

关 键 词：创伤和损伤/并发症 多器官功能衰竭/病因学 多器官功能衰竭/诊断 

分 类 号：R641[医药卫生—外科学] R365[医药卫生—临床医学]