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目的对煤矿重型颅脑损伤并发多器官功能不全综合征(MODS)进行分析,为临床早期诊断、治疗和预防MODS提供帮助。方法对1995年7月—2007年12月我院收治的32例重型颅脑损伤并发MODS患者的临床资料进行回顾性分析,总结其临床特点和治疗方法。结果重型颅脑损伤并发MODS的发生率为7.82%,肺、胃肠是最常见的受累器官,其次为脑、心、肾、肝脏,病死率为59.37%,且病死率与受累器官的个数密切相关。结论格拉斯哥昏迷(GCS)评分低、高龄、低氧血症是重型颅脑损伤并发MODS的重要原因。煤矿重型颅脑损伤并发MODS病死率高,预后差。加强院前急救、避免诱因和早期预防是降低MODS发生的重要因素。
Objective To analyze the severe craniocerebral injury complicated with multiple organ dysfunction syndrome (MODS) in coal mines and provide help for early clinical diagnosis, treatment and prevention of MODS. Methods The clinical data of 32 patients with severe craniocerebral injury complicated with MODS admitted from July 1995 to December 2007 in our hospital were analyzed retrospectively. The clinical features and treatment methods were summarized. Results The incidence of severe craniocerebral injury complicated with MODS was 7.82%. Lung and gastrointestinal were the most common organs involved, followed by brain, heart, kidney and liver. The case fatality rate was 59.37%, and the mortality and the number of affected organs closely related. Conclusion Glasgow coma (GCS) score low, advanced, hypoxemia is an important cause of severe craniocerebral injury complicated with MODS. Severe craniocerebral injury complicated by MODS in coal mine has high mortality and poor prognosis. Pre-hospital emergency treatment to avoid incentives and early prevention is an important factor in reducing the occurrence of MODS.