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探讨多脏器功能失常综合征(Multipleorgandysfunctionsyndrome,MODS)的病因及高危因素。对229例老年脑出血患者进行了回顾性调查,其中MODS患者97例,与132例无MODS的脑出血患者的临床资料比较,结果表明:原发病的危重程度和全身炎症反应综合征(Systemicinflammatoryresponsesyndrome,SIRS)与MODS的发生密切相关(P<0.01)。MODS的高危因素的单因素分析均有统计意义(P<0.05)。作者认为除了脑出血本身的严重程度外,治疗不当、老年患者并存躯体疾病也是激发SIRS和MODS的重要因素。
To investigate the etiology and risk factors of multiple organ dysfunction syndrome (MODS). A retrospective survey of 229 elderly patients with cerebral hemorrhage was performed. Among them, 97 patients with MODS were compared with the clinical data of 132 patients without MODS. The results showed that the severity of the primary disease and the systemic inflammatory response syndrome (Systemic Inflammatory Response Syndrome , SIRS) were closely related to the occurrence of MODS (P <0.01). Univariate analysis showed that risk factors of MODS were statistically significant (P <0.05). The author believes that in addition to the severity of cerebral hemorrhage itself, the treatment is not properly, elderly patients with somatic disease is also an important factor in stimulating SIRS and MODS.