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本文3588例中单器官功能衰竭880例,多系统水能衰竭(MSOF)2136例,死亡372例,病死率为10.37%。758例给予机械通气治疗,病死率为29.80%。居前10位的主要原发病为重症肺炎、中毒型痢疾、败血症、化脓性脑膜炎、中毒、病毒性脑炎、暴发型流脓、颅内出血、坏死性肠炎、格林巴利综合征。本文指出重症肺炎呼吸衰竭、MSOF是儿童重症监护病房(PICU)危重病例死亡的主要原因。提出降低重症肺炎呼吸衰竭、MSOF机械通气患儿的病死率,降低心跳呼吸骤停的发生率是提高高原地区PICU危重病例抢救成功率的主要因素。文章总结了抢救成功的经验。
This article 3588 cases of single organ failure in 880 cases, multi-system water failure (MSOF) 2136 cases, 372 deaths, the fatality rate was 10.37%. 758 cases given mechanical ventilation treatment, the case fatality rate was 29.80%. The top 10 primary primary diseases are severe pneumonia, toxic dysentery, sepsis, purulent meningitis, poisoning, viral encephalitis, fulminant pus, intracranial hemorrhage, necrotic enteritis and Guillain-Barre syndrome. This article points out that Severe Acute Respiratory Failure (MSOF) is the leading cause of death in critically ill children in the intensive care unit (PICU). Proposed to reduce the mortality of severe pneumonia respiratory failure, MSOF mechanical ventilation in children, reduce the incidence of cardiac arrest and respiratory arrest is to improve the survival rate of PICU critical cases of high altitude success rate of the main factors. The article summarizes the successful experience of rescue.