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重度颅脑损伤后并发多器官功能衰竭在临床上并不少见,由于其诊治复杂,病死率高,预后差而日益受重视。本文报告我科自1996年6月至1998年6月收治19例该病病人诊治预后资料。 1 临床资料 1.1 诊断标准:重度颅脑损伤(GCS评分<7分)后24h以上,有两个或两个以上的器官或系统序贯性渐进性地发生功能衰竭,排除特重型颅脑损伤脑复苏失败于24h内死亡者。 1.2 一般资料:男17例,女2例,年龄7～71岁,平均39岁,病人入院时(或术前)GCS评分3分2例,4分2例,5分10例,6分3例,7分2例。MSOF发生时间在伤后2周之内,其中伤后3天1例,7天内15例,7～14天4例。首先亦最容易受累的器官为肺
Severe craniocerebral injury complicated with multiple organ failure is not uncommon in clinical practice, due to its complex diagnosis and treatment, high mortality and poor prognosis, and increasingly valued. This article reports from our department from June 1996 to June 1998, 19 cases of patients with disease prognosis data. 1 Clinical data 1.1 diagnostic criteria: Severe craniocerebral injury (GCS score <7 points) after more than 24h, there are two or more organs or system sequential progressive failure, excluding extra-severe brain injury brain Recovery failed within 24 hours of death. 1.2 General information: 17 males and 2 females, aged 7 to 71 years, mean 39 years old, the patient admitted to the GCS score 3 points in 2 cases, 4 points in 2 cases, 5 points in 10 cases, 6 points 3 For example, 7 points and 2 cases. MSOF occurred within 2 weeks after injury, including 1 case 3 days after injury, 15 cases in 7 days and 4 cases in 7 to 14 days. The first and most vulnerable organ is lung