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目的:探讨严重胸外伤合并多器官功能不全的临床表现和救治,以提高其治疗效果。方法:回顾分析我院胸心外科监护室从2000年2月～2007年8月收治的23例严重胸外伤合并多器官功能不全病例的资料,研究其临床特点、救治以及预防措施。结果:该组病例多器官功能不全的发生率占严重胸外伤的比例为8.4%,主要为脑、心、肺、肾和消化应激性溃疡出血等多器官功能不全,在一系列积极的抢救措施下仍有7例死亡,死亡率为30.4%。结论:严重胸外伤合并多器官功能不全来势凶险,病情危重,对可能发生多器官功能不全的患者要采取积极的防治措施,以降低MODS的发生率和死亡率。
Objective: To investigate the clinical manifestations and treatment of severe chest trauma combined with multiple organ dysfunction in order to improve its therapeutic effect. Methods: The data of 23 cases with severe thoracic trauma complicated with multiple organ dysfunction admitted from February 2000 to August 2007 in our hospital from December 2000 to August 2007 were analyzed retrospectively to analyze the clinical features, treatment and preventive measures. Results: The incidence of multiple organ dysfunction in this group accounted for 8.4% of severe thoracic trauma, mainly in multiple organ dysfunction such as brain, heart, lung, kidney and digestive stress ulcer bleeding. After a series of active rescue There were still 7 deaths and a 30.4% mortality rate. Conclusion: Severe thoracic injury combined with multiple organ dysfunction is dangerous and critically ill. Active prevention and control measures should be taken for patients with multiple organ dysfunction so as to reduce the incidence of MODS and mortality.