小儿重症肺炎并发多器官功能衰竭抢救体会（附152例临床分析）  

Experience in emergeng treatment of Children with severe pneumonia Complicated With MSOF 152 Cases of clinical analysis

作　　者：佟文德[1] 杨丽华[1] 史淑琴 刘汝梅 韩艳荣[3] 

机构地区：[1]山西省儿童医院 [2]太原市新华化工厂职工医院 [3]山西省大同市第五人民医院

出　　处：《山西临床医药》1996年第3期176-178,共3页Shanxi Clinical Medicine

摘　　要：报道１５２例小儿重症肺炎并发ＭＳＯＦ。结果合并肺功能及心力衰竭１００％，脑功能衰竭６０．５％。ＤＩＣ２４．３％，胃肠功能衰竭７．２％。本组病例均并发了肺功能和心力衰竭，提示肺部重症感染，低氧血症是并发ＭＳＯＦ的重要原因。总结了并发ＭＳＯＦ后，在综合治疗基础上，及时合理使用血管活性药，氨茶碱及甘露醇，顽固性心衰时补镁均可收到良好的效果。结果治愈率７１．７％，好转出院４．６％，死亡率２３．７％。有并存症及年龄小的患儿易并发ＭＳＯＦ。器官功能衰竭与予后呈正相关，器官功能衰竭数增多，病死率明显增高。Cases of children of severe pneumonia with MSOF are reported in the article :The results show that 100% of cases are complicated with heart failure ,60.5% with cerebral function failure ,24.3% with DIC and 7.2% with gastrointestinal funation failure .The fact that all the cases are complicated with pulmonary function and heart failure indicates that severe infection in lungs and hypoxemia are majoy causes of complication of MSOF .On the basis of comprehensive treatment Satisfactory effects can be achieved through application of Vaso-active substance, ammephyline ,mannitol and Maynesium for Obstinate hera failure with a cure rate of 71.7%,improvement and discharge rate of 4.6%and mortality rate of 23.7%, Young children with complications are likely to be complcated with MSOF.A positive correlation exists between prognosis and organic failure. Mortality increases significantly with the incresaed organic failure.

关 键 词：重症 肺炎 儿童 并发症 多器官衰竭 

分 类 号：R725.631[医药卫生—儿科] R725.9[医药卫生—临床医学]