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报道11年间明确诊断为腹部外科多器官功能衰竭(MOF)的患者68例,提出了腹部外科MOF的临床特点、触发因素、首发衰竭器官、各个脏器衰竭发生频度、死亡原因和病死率及MOF的预防和现代救治措施.资料分析结果显示,腹部外科MOF的触发因素为严重感染、败血症、重度多发伤和急诊腹部外科大手术等.腹部外科MOF治疗的关键是要切实做到早期识别、早期检查、早期诊断和早期治疗.救治结果存活17例,死亡51例.作者提出MOF一旦发病要给予强有力的“四大一支持”综合措施的新疗法.本组18例MOF患者实施“四大一支持”综合疗法,15例获救治成功,该疗法具有实用、有效的价值.
68 patients with definite diagnosis of multiple organ failure (MOF) in abdominal surgery during the past 11 years were reported. The clinical features, triggering factors, initiating and failing organs, the frequency of each organ failure, the cause of death and the mortality of MOF in abdominal surgery were proposed MOF prevention and modern treatment measures.Results of data analysis showed that the triggering factors of MOF in abdominal surgery were severe infections, sepsis, severe multiple trauma and major surgery in emergency abdominal surgery, etc. The key to MOF treatment of abdominal surgery is to effectively identify early, Early detection, early diagnosis and early treatment.Results Survival in 17 cases, 51 deaths.The authors propose MOF in the event of a strong “big four to support” a comprehensive treatment of new therapies.The group of 18 patients with MOF implementation of “four Freshman support ”comprehensive treatment, 15 cases were successful treatment, the therapy has practical and effective value.