【摘要】 目的:提高对梗阻性黄疸病人全身炎症反应综合征()与多器官功能障碍综合征()关系的认识,探SIRSMODS讨的防治策略。MODS方法:分析收治的例黄疸病人的临床资料,要求患者符合项以上的诊断标准。2562SIRS结果:恶性梗阻病人术前出现例,发生率为,发生率为,而良性黄疸病人术前出现例,发生率,SIRS4833.6%MODS31%SIRS36 31.9%发生率为,两组比较及发生率无显著差异(MODS30.5%SIRSMODSP),中随着标准项增加,比例增>0.05MODSSIRSMODS加,死亡率增加,有显著差异(P)。<0.05结论:早期认识和早期治疗是改善阻塞性黄疸病人预后的关键。SIRS更多还原

【Abstract】 Objective: To analyze the relation between systemic inflammatory response syndrome (SIRS) and multiple organ dysfunction syndrome (MODS) and probe the therapeutic strategies. Methods: The clinical data of 256 patients accepted by our hospital were analyzed. The patients met at least two of the criteria for SIRS. Results: In 48 of the 143 malignant obstructive jaundice there was SIRS, the morbidity of SIRS was 33.6%, and the morbidity of MODS was 31%. In 36 of the 113 benign obstructive jaundice there was SIRS, the morbidity of SIRS was 31.9%; and the morbidity of MODS was 30.5%. There was no statistical significance ( P>0.05) of the morbidity of SIRS and MODS between two groups. The proportion of patients suffering from MODS increased with the number of SIRS criteria that the patients met, the mortality of the patients increased, and there was statistical significance (P<0.05). Conclusion:The outcome of the patients with obstructive jaundice can be improved on condition that SIRS is early diagnosed and early theated.更多还原