论文部分内容阅读
急性脑出血合并多系统器官功能衰竭(MSOF)病人162例,病死率56.79%,两器官衰竭者76例,病死35例(46.05%),三个以上器官衰竭者86例,病死率57例(66.27%)。结果提示:出血部位距正中线越近,发生MSOF频率越高;年龄与病死率里正相关(P<0.05双侧);出血量与MSOF的发生及病死率呈正相关(P<0.001双侧);感染是诱发MSOF的重要因素;对症治疗组30例,存活7例(23.33%),明确MSOF诊断组25例,存活13例(52.0%),两组之间比较有极显著性差异(P<0.05)。提示治疗的关键在于预防和早期控制。
There were 162 cases of acute cerebral hemorrhage complicated with MSOF, with a mortality rate of 56.79%, 76 cases of two organ failure, 35 cases of death (46.05%), 86 cases of three or more organ failure Rate of 57 cases (66.27%). The results suggest that the MSOF frequency is higher when the bleeding site is closer to the midline, and the age is positively correlated with the mortality (P <0.05). The incidence of bleeding and the incidence of MSOF are positively correlated with the mortality (P <0. 001). Infection was an important factor inducing MSOF. In the symptomatic treatment group, 30 patients survived in 7 patients (23.33%), 25 patients in MSOF diagnosis group and 13 patients (52.0%) survived, There is a very significant difference (P <0.05). Prompted treatment is the key to prevention and early control.