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探讨有关内科危重症并多器官功能衰竭(MOF)的定义、诊断、临床分型及其与预后的关系。MOF的基本诊断条件应具有:致病因素+全身炎症反应+器官功能受损。它可分为普通型和危重型。本组报道的156例中,普通型70例,存活59例,死亡11例;凶险型86例,存活9例,死亡77例。凶险型发生死亡的相对危险度(RR)为4.81。95%的可信区间在3.44-6.69。结果提示,MOF预后与临床分型关系更为密切。把MOF分成两型,对早期诊断和判断预后有重要意义。
To discuss the definition, diagnosis, clinical classification and prognosis of critically ill internal medicine and multiple organ failure (MOF). The basic diagnostic criteria for MOF should include: pathogenic factors + systemic inflammatory response + impaired organ function. It can be divided into ordinary type and critical type. Of 156 cases reported in this group, 70 cases of normal type, survival in 59 cases, 11 cases of death; 86 cases of dangerous, 9 cases of survival and 77 cases of death. The relative risk (RR) for risk of death was 4.81.95% with a confidence range of 3.44-6.69. The results suggest that the relationship between MOF prognosis and clinical classification more closely. The MOF is divided into two types, the early diagnosis and prognosis of great significance.