早期诊治胃肠功能障碍对小儿危重症抢救成功率的影响  

The Effect of Early Management of Gastrointestinal Dysfunction on The Prognosis in Critical Ill Children

作　　者：游锦安[1] 王明义[1] 林泽想[1] 

机构地区：[1]广东省江门市新会人民医院儿科,529100

出　　处：《岭南急诊医学杂志》2007年第3期207-208,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨危重症患儿中胃肠功能障碍的早期诊断与治疗对预后的影响。方法:回顾性分析286例并发胃肠功能障碍的危重症患儿抢救成功率及其影响因素。结果:危重症并胃肠功能障碍早期诊断与治疗抢救成功率为91.1%,中期为47.4%,晚期为9.3%;伴呼吸或心脏功能障碍者抢救成功率为71.2%,伴肾脏或脑功能障碍者为31.9%,4个或以上器官功能障碍者仅为2.1%;危重病评分70～90分者抢救成功率为72.6%,评分<70分者为38.0%,结论:危重症患儿治疗效果与胃肠功能障碍诊治早晚、危重病评分及是否伴其它器官功能障碍密切相关。胃肠功能障碍的早期诊断与综合治疗是危重症抢救成功的关键环节。Objective： To study the effect of early diagnosis and treatment of gastrointestinal dysfunction on the curative rate in critical ill children. Methods： 286 eases of critically ill children with gastrointestinal dysfunction were reviewed. The curative rate and the influencing factors on the prognosis were studied. Results： The curative rate of the early management group of critically ill patients with gastrointestinal dysfunction was 91.1%, 47.4% in the progressive group, 9.3% in the exacerbating group. In patients complicated with respiratory or cardiovascular dysfunction, or complicated with renal dysfunction or eneephalopathy, or when more than 4 systems were involved, the curative rate was 71.2%, 31.9%, 2.1% respectively. In patients whose pediatric elirfie risk index （PCRI） was 70-90 and less than 70, the curative rate was 72.6% and 38.0% respectively. Conclusion： The consequence of critically ill children was closely related to the time of diagnosis, therapy of gastrointestinal dysfunction, PCRI and the existence of other organ dysfunction. Early diagnosis and interventions of crisis is the key to cure in critically ill children.

关 键 词：危重症患儿 胃肠功能障碍 早期诊断 早期治疗 预后 

分 类 号：R720.597[医药卫生—急诊医学]