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感染或创伤是多器官衰竭(MOF)的主要致病因素,而MOF是目前外科危重病人死亡的主要原因.我科近5年来共抢救38例MOF患者,效果较好,报告于下.1 临床资料本组男23例,女15例.年龄3～75岁,平均50.5岁.重症急性胆管炎10例.胃肠穿孔7例,急性阑尾炎l例,腹腔脓肿5例,复合性创伤7例,尿路结石并尿毒症2例,多发性脓肿6例.MOF计肾衰38例次,肺衰15例次,肝衰24例次,心衰29例次,中枢神经系统衰竭6例次.患者2个器官衰竭10例,3个器官衰竭24例,5个器官衰竭4例.治疗及结果 本组手术治疗35例,1例急性阑尾炎拒绝手术,2例多发性脓肿在院外做不正确排脓.治愈28例.死亡10例,其中重症急性胆管炎2例,胃肠穿孔1例,急性阑尾炎1例,腹腔脓肿1例,复合性创伤2例,双上尿路结石合并尿毒症1例,多发性脓肿2例.
Infection or trauma is the main cause of multiple organ failure (MOF), and MOF is currently the major cause of death in critically ill surgical patients.Our department in the past 5 years, a total of 38 cases of MOF salvage, the better, reported in the next.1 clinical Materials The group of 23 males and 15 females.Age ages 3 to 75 years old, average 50.5 years old.Seventy patients with severe acute cholangitis.Gastrointestinal perforation in 7 cases, acute appendicitis in 1 case, abdominal abscess in 5 cases, combined trauma in 7 cases, Urinary tract stones and uremia in 2 cases, multiple abscesses in 6. 38 cases of MFO renal failure, 15 cases of pulmonary failure, 24 cases of liver failure, heart failure 29 cases, 6 cases of central nervous system failure. 2 organ failure in 10 cases, 3 organ failure in 24 cases, 5 organ failure in 4. Treatment and results of this group of 35 cases of surgical treatment, 1 case of acute appendicitis refused surgery, 2 cases of multiple abscesses in the hospital do not correct drainage pus 28 cases were cured, 10 cases died, including 2 cases of severe acute cholangitis, 1 case of gastrointestinal perforation, 1 case of acute appendicitis, 1 case of abdominal abscess, 2 cases of complex trauma and 1 case of double upper urinary tract stones combined with uremia, Multiple abscesses in 2 cases.