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目的:总结汶川地震26例多器官功能衰竭患者的临床资料,就其发病特点,治疗经过及预后进行探讨,为防治提供依据。方法:对汶川地震26例多器官功能衰竭患者的临床资料进行回顾性分析。结果:19例患者死亡,死亡率为73.1%。死亡率随着功能衰竭的器官数量增多而增高,4个及以上器官功能衰竭者死亡率为100%。结论:多器官功能衰竭预后差,死亡率高。强调对MOF的早期识别、早期诊断、早期治疗以及治疗上的统筹兼顾,防治结合。
OBJECTIVE: To summarize the clinical data of 26 patients with multiple organ failure in the Wenchuan earthquake and discuss their characteristics of onset, treatment and prognosis so as to provide basis for prevention and treatment. Methods: The clinical data of 26 patients with multiple organ failure in the Wenchuan earthquake were retrospectively analyzed. Results: Nineteen patients died with a mortality rate of 73.1%. Mortality increased with an increase in the number of failing organs and 100% in 4 or more organ failure patients. Conclusions: Multiple organ failure has poor prognosis and high mortality. Emphasis on the early identification of MOF, early diagnosis, early treatment and treatment of both overall, combined with prevention and treatment.