器官功能监测与维护在多发伤治疗中的价值

为探讨器官功能监测与维护在多发伤治疗中的价值 ,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

Evaluation of organ function monitoring and supporting during the treatment of multiple trauma

Objective: To analyse the evaluation of organ function monitoring and supporting during the treatment of multiple trauma. Methods: Eightyeight patients with severe multiple trauma were admitted into Department of Intensive Care Unit(ICU) and the cardiovascular, respiratory, renal, and coagulation functions, milieu intérieur, and infectious sources were monitored. Results: Seventysix cases survived and twelve cases died. The major delayed diagnoses included pneumothorax hematopneumothorax, intraperitoneal organ injury, and fracture. 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 delayed diagnoses and also decrease complications