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成人重型细菌性痢疾(重型菌痢),发病急骤,病情严重,常因休克未早期发现或处理不当,而发展为急性肾功能衰竭(ARF)和多脏器功能衰竭(MOF),危及生命.今就我院近二年抢救21例重型菌痢中有关休克和急性肾功能衰竭的早期发现和处理介绍如下.一般资料21 例中:休克(持续4小时以上)19例,ARF13例(其中急性肾小管坏死ATN5例),MOF6例(5例有ATN),脑型1例.男15例,女6例.年龄:14～63岁,个均30.5岁.6例MOF受累脏器;2个2例,3个1例,5个2例,6个1例.死亡3例(均为MOF伴ATN).
Adult severe bacillary dysentery (severe bacillary dysentery), with a sudden onset and serious illness, often develops into acute renal failure (ARF) and multiple organ failure (MOF), which are life-threatening due to improper early detection or handling of shock. Now in our hospital for nearly two years to rescue 21 cases of severe bacillary dysentery in the early detection and treatment of shock and acute renal failure are as follows.General information 21 cases: shock (for 4 hours or more) in 19 cases, ARF 13 cases (acute Renal tubular necrosis ATN5 cases), MOF6 cases (5 cases with ATN), brain 1 cases, 15 males and 6 females.Age: 14 to 63 years old, averaging 30.5 years old .6 cases MOF involved organs; 2 2 cases, 3 cases in 1 case, 5 cases in 2 cases and 6 cases in 1 case, 3 cases died (all were MOF with ATN).