急性脑血管病并发多器官功能障碍综合征临床救治探讨  

Clinical treating research on acut ebrain blood vessel disease compl icating MODS

作　　者：谷彩萍[1] 

机构地区：[1]河南第一荣康医院神经内科,河南新乡453003

出　　处：《中国民康医学》2003年第4期218-220,共3页Medical Journal of Chinese People’s Health

摘　　要：目的 :探讨急性脑血管病并发多器官功能障碍综合征 (MODS)的发病机制与防治策略。方法 :分析2 7例急性脑血管病并发MODS患者的临床资料。结果 :急性脑血管并发MODS的患者死亡率 66 67% ,入院时格拉斯哥昏迷评分 (GCS)与死亡率呈负相关。应激反应是引发MODS的主要病理生理机制 ,脑干与下丘脑的损害是MODS发生的始动因素。结论 :减轻应激反应 ,控制原发病 ,缓解颅高压 ,恢复脑干功能是预防急性脑血管病后MODS发生的重要环节 。Objective:To study the mechanisms and comprehensive measu res for Patients who suffered from multiple organ dysfunction syndrom ecomplicating acute brain bl ood vessel disease Methods:Ana lysises were performed on the clinical materials of 27 patients with MODS complicating acute brain blood ves sel disease Results:The mortal ity of patients with MODS complicating acute brain blood vessel disease w as 66 67% GCS score is negative re lated to the moratality stress res ponse is mainly pathologic physiol ogy mechanism leading to MODS Brai n stem and hypothalamus injuries we re initial factors resulting in MO DS Conclusions:easing stress r esponse controlling originated disease ameliorating intracranial hperten sion and recovering the function o f brain stem should be emphasized on guarding against acute brain bl ood vessel disease The mortality o f MODS can be reduced by use of co mbined treatment strategy

关 键 词：急性脑血管病 并发症 多器官功能障碍综合征 发病机制 应激反应 预防 综合治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R59[医药卫生—临床医学]