CAJ | 학술논문

目的通过对243例肾综合征出血热(HFRS)多器官功能衰竭愈后调查,探讨影响及产生后遗症的各种因素,指导HFRS所致多器官衰竭(MSOF)的抢救,制定减少后遗症的各种措施.方法采用多种形式对243例患者进行回访调查,实行相关的辅助检查,采用大样本计数资料U检验与样本均数t检验,结合原有的住院病历进行分析.结果 HFRS患者治愈后,后遗症发生率为47.73％,多个系统损害的发生率为39.15％,每例最多有3个系统损害后遗症,其发生率与病情、诱因、确诊时间、循环衰竭纠正时间、使用洛赛克及受体阻滞剂、年代、器官衰竭个数、起始衰竭器官及个数、中枢神经系统功能障碍等密切相关.结论胃肠功能衰竭是MSOF始动因素,2个器官起始衰竭是病情重信号,出现中枢神经系统功能障碍是病情危重和预后差标志.
목적 통과대243례신종합정출혈열(HFRS)다기관공능쇠갈유후조사,탐토영향급산생후유증적각충인소,지도HFRS소치다기관쇠갈(MSOF)적창구,제정감소후유증적각충조시.방법 채용다충형식대243례환자진행회방조사,실행상관적보조검사,채용대양본계수자료U검험여양본균수t검험,결합원유적주원병력진행분석.결과 HFRS환자치유후,후유증발생솔위47.73％,다개계통손해적발생솔위39.15％,매례최다유3개계통손해후유증,기발생솔여병정、유인、학진시간、순배쇠갈규정시간、사용락새극급수체조체제、년대、기관쇠갈개수、기시쇠갈기관급개수、중추신경계통공능장애등밀절상관.결론 위장공능쇠갈시MSOF시동인소,2개기관기시쇠갈시병정중신호,출현중추신경계통공능장애시병정위중화예후차표지.
Objective Through the 243 cases of hemorrhagic fever with renal syndrome(HFRS) of multiple organ failure after more investigation to explore the impact of various factors and generate sequelae.HFRS caused MSOF rescue guidance,to develop a variety of measures to reduce complications.Methods 243 cases of various forms on a return visit to investigate the implementation of the relevant auxiliary examination,using a large sample count data U test and the sample mean T test,combined with the original medical records were analyzed.Results HFRS patients cured,the incidence of sequelae of 47.73％,the incidence of multiple system damage 39.15％,in each case up to three system damage sequelae,its incidence and disease,incentives,diagnosis time,circulatory failure correct time,the use of Losec and blockers,age,number of organ failure,organ failure,and the starting number of central nervous system dysfunction and other closely related.Conclusion Gastrointestinal dysfunction is the initial factor MSOF,two organ failure is the starting signal severe illness,central nervous system dysfunction is in critical condition and the prognosis is poor marks.