CAJ | 학술논문

目的探讨肝硬化并发多器官功能衰竭(MOF)的临床特征及预防措施.方法对30例肝硬化并发MOF患者的临床表现、诱发因素、发病情况及治疗转归进行总结分析.结果 30例患者中,25例并发中枢神经系统衰竭,21例并发胃肠道大出血;病死率43.3%,其中并发4个器官衰竭者9例,均死亡.结论肝硬化并发MOF常见受累的器官为脑、胃肠道、肾脏、血液、心脏及肺,且受累器官越多,病死率越高.对肝硬化患者采取及时有效地治疗可降低多器官功能衰竭的发生率,提高生存率.
목적 탐토간경화병발다기관공능쇠갈(MOF)적림상특정급예방조시.방법 대30례간경화병발MOF환자적림상표현、유발인소、발병정황급치료전귀진행총결분석.결과 30례환자중,25례병발중추신경계통쇠갈,21례병발위장도대출혈;병사솔43.3%,기중병발4개기관쇠갈자9례,균사망.결론 간경화병발MOF상견수루적기관위뇌、위장도、신장、혈액、심장급폐,차수루기관월다,병사솔월고.대간경화환자채취급시유효지치료가강저다기관공능쇠갈적발생솔,제고생존솔.
Objective To explore clinical characteristics and prevention measure in the patients with hepatic cirrhosis complicated MOF.Methods To analyse summarily the clinical manifestation,induction factor,incidence morbidity and the treatment tendency of 30 patients with hepatic cirrhosis complicated MOF.Results Among 30 patients,25 cases complicated by concurrent central nervous system failure,21 cases complicated with gastrointestinal tract bleeding;Total mortality was 43.3%,and 9 cases concurrent four-organ failure,all died.Conclusion Hepatic cirrhosis complicated MOF commonly involved organs are brain,gastrointestinal trad,kidney,blood system,heart and lung.The more the failed organs are,the higher the case mortality rate is.Prompt and effective treatment of induction factor for patients suffering from hepatic cirrhosis can lower MOF rate and prolong their survival period.