器官功能监测与维护在多发伤治疗中的价值 - 中南大学学报（医学版）.pdf

2000,25( 3) 288 BULL HUNAN MED UNIV 徐道妙, 徐启明, 艾宇航, 赵双平 附属湘雅麻醉科ICU( 长沙 410008) [ ] 为探讨器官功能监测与维护在多发伤治疗中的 值,选择88 例因严重多发伤而收入ICU 的患者,监测 其心血管功能呼吸功能肾功能凝血功能, 内环境及感染源, 并根据监测结果及时决策治疗措施结果示,88例患 者76 例存活, 12 例死亡其主要延迟性诊断有气胸, 血气胸, 腹内脏器损伤及骨折等; 其主要并发症包括严重感染 低血压急性肾衰成人呼吸窘迫综合征及多器官功能障碍综合征结果表明, 对脏器功能进行积极的监测与维护有 助于降低漏诊和误诊的发生率以及及时调整治疗措施以减少并发症的发生 * * [ ] 多发性创伤; 器官功能监测 ; 治疗学; 诊断; 并发症 [ ] R619 R64 [] A [ ] 2000 Evaluation of organ function monitoring and supporting during the treatment of multiple trauma XU Daomiao, XU Qiming,AI uhang, et al D epartment of I ntens ive Care Unit , X iangya Hosp ital , H unan Medical University ( Changsha 410008) [ Abstract] Objective: To analyse the evaluation of organ function monitoring and supporting during the treatment of multiple trauma. Methods: Eightyeight patientswith severemultipletraumawere admitted into Dep artment of Intensive Care Unit(ICU) and the cardiovascular, respiratory, renal, and coagulation functions, mi lieu intrieur, and infectious sourcesweremonitored. Results: Seventysix cases survived and twelve cases died. Themajor delayed diagnoses included pneumothorax hematopneumothorax, intraperitoneal organ injury, and frac ture. The major complications were severe infection, hypotension, acute renal failure, adult respiratory distress syndrome (ARDS) , and multiple organ disfunction syndrome(MODS) . Conclusion: Active monitor and support of organ function can lower the rate of missed or