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目的:探讨小儿危重病与胃肠功能衰竭的关系。方法:对68例危重病儿的临床资料进行回顾性分析,评估疾病严重程度、多器官功能衰竭(MOF)与胃肠功能衰竭的关系。结果:68例危重病儿中单项危重病15例(均无MOF)、多项危重病53例(其中危重25例,极危重28例);53例中5例为单器官功能衰竭,余48例为伴MOF者。胃肠功能衰竭发生率在伴MOF的危重病儿组为60%(29/48),单项危重组为7%(1/15),两组比较有显著性差异(P<0.05)。胃肠功能衰竭发生率在危重病评分的不同评分组依次为:A组(60分以下)100%,B组(60分～70分)68%,C组(71分～80分)24%;具有1,2,3,4个或以上器官衰竭的患儿,胃肠功能衰竭发生率依次为:0,0,63%,83%,均有显著性差异(P<0.05,P<0.01)。结论:伴MOF的危重病儿胃肠功能衰竭发生率高,危重病评分分值越低,受损器官越多,功能衰竭发生率越高,应予高度重视并予早期干预。
Objective: To investigate the relationship between pediatric critical illness and gastrointestinal failure. Methods: The clinical data of 68 critically ill children were retrospectively analyzed to evaluate the relationship between disease severity, multiple organ failure (CHF) and gastrointestinal failure. Results: Of the 68 critically ill children, 15 were critically ill (no MOF), 53 were critically ill (25 critically ill, 28 critically ill); 5 of 53 were single organ failure and 48 Cases with associated MOF. The incidence of gastrointestinal failure in critically ill children with MOF was 60% (29/48) in the critically ill group and 7% (1/15) in the single critically ill group. There was a significant difference between the two groups (P <0.05). The incidence of gastrointestinal failure in the different grades of critical illness scores were as follows: A group (60 points or less) 100%, B group (60 points to 70 points) 68%, C group (71 points to 80 points) 24% ; Children with 1, 2, 3, 4 or more organ failure, the incidence of gastrointestinal failure were 0,0,63%, 83%, were significantly different (P <0.05, P <0.01 ). Conclusion: The incidence of gastrointestinal failure in critically ill children with MOF is high, the score of critical illness score is lower, the more organs are damaged and the higher the incidence of failure is. Therefore, it should be given high priority and given early intervention.