婴幼儿重症喘憋性肺炎并发多系统器官功能衰竭(附51例临床分析)  

SEVERE ASTHMATIC BRONCHITIS WITH MULTISYSTEMATIC ORGAN FAILURE (MSOF) IN INFANTS: ANALYSIS OF 51 CASES

作　　者：史凯[1] 王萍[1] 

机构地区：[1]泰安市儿童医院

出　　处：《泰山医学院学报》1991年第4期377-380,共4页Journal of Taishan Medical College

摘　　要：本文报道婴幼儿喘憋性肺炎并发MSOF51例,结果合并心力衰竭100％,呼吸衰竭64.7％,胃肠衰45.1％,脑衰16.3％,肾衰11.8％,凝血机制障碍7.8％,肝衰5.9％。MSOF均在严重喘憋基础上发生,提示本病通气障碍及换气障碍导致严重低氧血症与高碳酸血症、代谢性和呼吸性酸中毒是MSOF的重要原因,器官功能衰竭与预后有密切关系,器官衰竭数增多,病死率明显增高。指出本病应具有预见性、针对性,有效的控制肺部感染,改善通气及换气功能,吸氧,统筹兼顾支持脏器功能,改善肺微循环障碍为主的全身微循环障碍是防治重症喘憋性肺炎MSOF的关键。Fifty-one infants with severe asthmatic bronchitis complicated by MSOF are reported. The complications were heart failure (100%) , respiratory failure (64. 7%) , gastric and intestinal function failure (45.1%), brain failure (16. 3%), kindey failure (11. 8%) distur- bance of blood coagulation (7. 8%) and liver failure (5. 9%). MSOF occurred in all the severe cases. Serious hypoxemia, hypercarbia, metablic and respiratory acidosis caused by disturbance of ventilation were the main causes of MSOF. The mortality was related to the number of organs involved. Supporting organ function, improving microcirculation, checking lung infection were important steps for the treatment and prevention.

关 键 词：婴幼儿 喘憋肺炎 器官衰竭 

分 类 号：R725.631[医药卫生—儿科]