摘要
目的 进一步认识危重患儿全身性炎症反应综合征 (SIRS)和多器官功能不全综合征 (MODS)的发生、转归及其影响因素 ,提高抢救水平。方法 参照诊断标准 ,对 10 12例危重患儿 SIRS、MODS的发生和转归进行回顾性分析 ,探讨其危险因素 ,寻找 MODS中的主要矛盾。结果 10 12例危重患儿发生 SIRS80 3例 ,占 79.3% ,进而发展为MODS2 12例 ,占 2 6 .4% ,MODS的发生与危重度评分、SIRS的符合项目和酸中毒的严重程度关系密切 ,与年龄、原发病类型无明显关联 ,呼吸功能不全是 MODS中的首要和关键问题。结论 危重患儿 SIRS普遍存在 ,了解其发生演变过程及其危险因素 ,早期合理干预 ,减少或避免损害因素 ,对危重症抢救成功率的提高有着重要的指导意义。
Objective To understand further the development,changes and influence factors of systemic inflammatory response syndrome(SIRS)、multiple organ dysfunction syndrome(MODS) with critical illness children,and improve rescue level.Methods According to diagnosis criteria,we were retropectively analysed the development,changes of SIRS and MODS with 1012 critical illness children.The risk factors and main questions of MODS were explored in the meantime.Results 803 cases(79.3%) were diagnosed as SIRS in 1012 critical infants,212 casas(26.4%) developed to MODS in 803 SIRS.The occurrent of MODS was obviously related with critical degree score,severe acid poison,items according with SIRS,was no concerns with ages,primary disease types.Respiratory dysfunction was the first and key to MODS.Conclusion SIRS commonly exist in critical illness children.Learning the occurrent、change process and risk factors,early reasonably intervening and reducing aviodable injures have important guide significance.
出处
《中国误诊学杂志》
CAS
2001年第8期1128-1129,共2页
Chinese Journal of Misdiagnostics
关键词
全身性炎症反应综合征
多器官功能不全综合征
儿童
illness children
systemic inflammatory response syndrome
multiple organ dysfunction syndrome
