小儿多器官功能衰竭死亡高危因素的临床分析及对策  

Analyze and deal with high deathly factors of multiple organ failure(MOF) in children

作　　者：严文康[1] 赵萍[1] 张秀琴[1] 郭秀东[1] 

机构地区：[1]广东省惠州市中心人民医院儿科,广东惠州516001

出　　处：《中国民族民间医药》2009年第19期102-103,共2页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的：探讨多器官功能衰竭患儿死亡的危险因素，以提高诊治质量。方法：回顾性分析2003年6月～2008年6月儿科重症病房诊治的96例MOF患儿，其中52例死亡，对各年龄阶段、衰竭的器官数及危重病例评分进行统计处理分析。结果：婴幼儿死亡率明显高于年长儿，随着年龄的增长病死率显著下降；病死率与衰竭的器官数明显相关，3个器官及以上功能衰竭时，病死率超过55．6％，从器官功能衰竭的分布来看，以肺脏发病率最高，其次为循环系统及胃肠道；危重病例评分70分以下者病死率明显高于70分以上者，两组对比差异显著。结论：降低危重症患儿的病死率首先要降低0～3y儿童的死亡率；保护重要脏器的功能在儿科危重症抢救中占重要地位。Objective Explore the deathly risk factors of MOF in children in order to improve the quality of diagnosis and treatment. Methods Review and analyze 96 cases of MOF children in pediatric intensive care unit from June 2003 to June 2006. 52 cases of children died. Analysis on age stage, amount of organ failure and evaluation in intensive eases. Results The mortality in infant is higher than that in elder obviously. While decrease along with age increasing obviously. The mortality is related to the amount of organ failure obviously, the mortality over 55.3% when 3 or over 3 organs fail. The morbidity of lung is highest, circulatory system and gastrointestinal tract secondary ; The mortality of evaluation in intensive eases under 70 is higher than that eases over 70, two groups is different obviously. Conclusions It is first to decrease mortality of 0 to 3 age to reduce children mortality ; It is important to protect major organs function in rescuing pediatric intensive case.

关 键 词：儿科危重症 多器官功能衰竭 病死率 危险因素 

分 类 号：R720.5[医药卫生—儿科]