【摘要】 目的探讨严重多发伤致多器官功能不全综合征(MODS)的分期诊断标准及临床意义。方法总结严重多发伤(ISS>20分)所致的MODS132例的临床资料。结果根据MODS分期诊断标准(庐山会议),死亡的27例(24.7%)中,I期1例(3.9%),II期7例(15.6%),III期9例(45%),IV期10例(90.9%)。其分期不同预后不同。MODS的发生率随着高分值伤情程度的增加而递增,功能衰竭器官越多,死亡率越高。结论MODS的分期诊断具有较大的临床意义,是临床医生对MODS早期诊断、早期治疗的重要依据。更多还原

【Abstract】 ObjectiveTo investigate the criteria and clinical significance of diagnostic classification of multiple organ dysfunction syndrome(MODS) in patients with severe multiple trauma. MethodsThe clinical data of 132 cases of MODS resulted from severe multiple trauma(ISS>20) were analyzed.ResultsMODS was staged according to "Lu shan conference" diagnostic criteria.In this group of patients there were 27 deaths(24.7%),of which 1 patient(3.9%) was stage I,7 patients(15.6%) stage II,9 patients(45%) stage III,and 10 patients(90.9%) stage IV.Prognosis varied with stage of MODS.The incidence of MODS increased with higher scores of body injury, and mortality rate increased with the increase of the number of failured organs.Conclusions The diagnostic classification of MODS has obvious clinical significance. It (provides) clinicians with an important basis for early diagnosis and treatment of MODS.更多还原