多器官功能障碍综合征ICD-10编码解析  

Analysis on ICD-10 Classification of MODS

作　　者：董磊[1] 王文达[1] 

机构地区：[1]首都医科大学附属北京友谊医院,北京市100050

出　　处：《中国病案》2012年第4期43-44,共2页Chinese Medical Record

摘　　要：多器官功能障碍综合征(MODS)在全国各地医院疾病分类中没有一个明确的、合理的编码。ICD-10有全身炎症反应综合征(SIRS)是根据病因和是否伴有器官功能衰竭分类,而没有文字上的对MODS分类,但实质上MODS符合类目R65(SIRS)中对器官功能衰竭的描述。类目R65中infectious origin的中文翻译为传染性病因是不恰当的,应翻译为感染性病因。临床诊断多器官功能衰竭与MODS不是一个疾病,不要混淆。为了规范疾病编码,达到全国疾病分类代码统一[1],应给予MODS一个正确的、较为合理的编码,以解决此疾病编码混乱和错误的问题。The classification of multiple organ dysfunction syndrome（MODS） in hospitals across the country is absence of a clear reasonable coding.Systemic inflammatory response syndrome（SIRS） according to the cause and whether associated with organ failure is classificated in ICD-10.There is no text on the classification of MODS but essentially MODS is in categories R65（SIRS） of organ failure description.The Chinese translation communicable etiology of infectious origin of category R65 is not appropriate.It should be translated for the infectious etiology.The clinical diagnosis of multiple organ failure and MODS is not the same disease.In order to standardize the coding of diseases,achieve the national classification of diseases code unified[1],a correct and more reasonable encoding should be given to MODS to solve the problem of this disease coding confusion and errors.

关 键 词：多器官功能障碍综合征 全身炎症反应综合征 感染 

分 类 号：R459.7[医药卫生—急诊医学]