【摘要】 目的:重视和提高对严重创伤病人的救治能力,扼制病情的进一步发生和发展,尽快恢复已损害和衰竭脏器的功能,提高抢救成功率。方法:对重危病人早期给予呼吸支持,在抗休克的同时积极手术;MODS救治中要抓住主要矛盾,积极运用CRRT,尽快使用能有效降低炎症介质血清浓度的药物,防治SIRS的进一步发展。结果:本组病人尽管危重,但经积极救治效果满意,救治成功率高达78.6%。结论:对于严重创伤患者要紧密结合临床表现及早发现和干预MODS,以CRRT为主要手段的综合治疗以及多器官功能支持疗法能对治疗MODS发挥重要作用更多还原

【Abstract】 Objectives:We conducted this study to improve the treatment of severe post-trauma patients,prevent further deterioration,restore dysfunctional organs and improve survival rate.Methods:In this study,severe post-trauma patients received early respiration support,antishock therapy and surgery;We first focused the most critical part of the patients’ condition,applied CRRT when its applications were met, use effective Serum Inflammatory Mediator-reduce Drug as soon as possible,prevent further development of SIRS.Results:Although the patients’ condition is severe,the treatment results were satisfied,the survival rate reached 78.6%.Conclusions:In order to applied early prevention and treatment of MODS,we should pay more attention to post-trauma patients’ clinical manifestations beside other clinical datas,apply multi-organ support treatment and systemic therapy in which CRRT was used as a major approach.更多还原