摘要
目的:通过对糖尿病酮症酸中毒(DKA)发生多器官功能失常综合症(MODS)或多器官功能衰竭(MOF)的了解,达到早期识别,预防、治疗DKA并发MODS/MOF。方法:回顾性分析92例DKA并MODS/MOF的临床资料。结果:DKA并MODS/MOF者35例,占38％。MODS者高龄及伴发其他慢性疾病多。MODS诱因以肺部感染(60％)、肾损害(40％)和休克(34.3％)多见。MODS以肾为首发且最常见(51.4％),其余为呼吸、脑及心。器官功能失常或衰竭以脑(74.2％)、心脏(71.4％)、肾(62.8％)及呼吸系统(42.9％)多见。死亡30例均为MODS/MOF者。结论:MODS/MOF是DKA的重要死因,MODS/MOF的病死率与MODS/MOF器官数目及评分有关。
ObjectiverTo investigate the occurrences of MODS or MOF in the patients with DKA in order to identify early prevent and treat. Methodes:92 clinical data of the patients were analyzed retrospectively. Results:35 cases complicated with MODS or MOF accounted for 38% of all. The incudence of MODS was high in older and merged other chronic diseases. MODS usually include the infection of lung(60%), renal injury (40%) and shock (34.3%). Renal dysfunction appears first and most (51.4%). Involved organs, was brain(74.2%),heart(71.4%).renal(62.8%) and respiratory system (42.9%). 30 patients (32.6%) had died of the disease. Conclusions:MODS or MOF was the important reason of death of the DKA. The mortality of DKA with MODS or MOF was connected with the number of the involved organs and scoring of MODS or MOF.
出处
《岭南急诊医学杂志》
2003年第2期99-100,共2页
Lingnan Journal of Emergency Medicine
