作者回顧性研究了292例老年腹部外科急癥患者的全身性炎癥反應綜合征(SIRS)和多臟器功能不全綜合征(MODS)的臨床資料,分析SIRS向MODS的發展過程,探索MODS的防治策略。結果:老年腹部外科急癥患者入院時SIRS的發生率是41.1%,其后MODS的發生率是14.2%,病死率是11.7%。經治療48小時后(包括手術和保守治療),仍伴有SIRS的病例中,40.5%(17/42)發展為MODS。292例老年腹部外科急癥患者中,19例發生MODS(6.5%),16例死亡(84.2%),結論:早期診斷SIRS,特別注意分析治療48小時后仍伴有SIRS的患者的原因,積極調控機體炎癥反應,才是改善老年腹部外科急癥患者預后的關鍵。
引用本文:
文天夫,李纓來,茍小清,湯英,嚴律南. 老年腹部外科急癥患者全身性炎癥反應綜合征和多器官功能不全綜合征的臨床分析. 中國普外基礎與臨床雜志, 1999, 6(3): 151-153. doi:
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- 4. Goris RJA, Cockhorst TPA, Nagtink JKS, et al. Multiple organ failure. Arch Surg, 1985; 120(9)∶1109.
- 5. Roger CB. Immunologic dessonance: a continuing evolution in our understanding of the SIRS and the MODS. Ann Intern Med, 1996; 128(8)∶680.