创伤与急诊电子杂志
創傷與急診電子雜誌
창상여급진전자잡지
Journal of Trauma and Emergency (Electronic Version)
2014年
2期
6-10
,共5页
吴淡森(综述)%石松菁(审校)
吳淡森(綜述)%石鬆菁(審校)
오담삼(종술)%석송정(심교)
多器官功能障碍综合征%脓毒症%病理生理%治疗
多器官功能障礙綜閤徵%膿毒癥%病理生理%治療
다기관공능장애종합정%농독증%병리생리%치료
Multiple organ dysfunction syndrome (MODS)%Sepsis%Pathophysiology%Therapy
多器官功能衰竭(multiorgan failure,MOF)是多器官功能障碍综合征(multiple organ dysfunction syndrome, MODS)的最严重阶段,在大多数重症监护病房已经达到很高的发病率,并迅速成为首要死亡原因,其病死率随着衰竭器官的数目增加而增高。在过去的二十年,尽管病因治疗和器官功能支持技术取得了显著的进步,但是MOF患者仍有极高的死亡率。很显然,阻断MODS向MOF发展,以提高MODS患者的生存率,已成为新的治疗策略。本文将对阻断MODS向MOF发展的若干国内外治疗进展进行综述,以期对MODS的治疗策略有更进一步的提高。
多器官功能衰竭(multiorgan failure,MOF)是多器官功能障礙綜閤徵(multiple organ dysfunction syndrome, MODS)的最嚴重階段,在大多數重癥鑑護病房已經達到很高的髮病率,併迅速成為首要死亡原因,其病死率隨著衰竭器官的數目增加而增高。在過去的二十年,儘管病因治療和器官功能支持技術取得瞭顯著的進步,但是MOF患者仍有極高的死亡率。很顯然,阻斷MODS嚮MOF髮展,以提高MODS患者的生存率,已成為新的治療策略。本文將對阻斷MODS嚮MOF髮展的若榦國內外治療進展進行綜述,以期對MODS的治療策略有更進一步的提高。
다기관공능쇠갈(multiorgan failure,MOF)시다기관공능장애종합정(multiple organ dysfunction syndrome, MODS)적최엄중계단,재대다수중증감호병방이경체도흔고적발병솔,병신속성위수요사망원인,기병사솔수착쇠갈기관적수목증가이증고。재과거적이십년,진관병인치료화기관공능지지기술취득료현저적진보,단시MOF환자잉유겁고적사망솔。흔현연,조단MODS향MOF발전,이제고MODS환자적생존솔,이성위신적치료책략。본문장대조단MODS향MOF발전적약간국내외치료진전진행종술,이기대MODS적치료책략유경진일보적제고。
Multiple organ failure (MOF) is the most serious stage of multiple organ dysfunction syndrome (MODS) with a very high incidence rate and quickly becomes the leading cause of death in most ICU. Its mortality increases with the number of organ failure. In the past two decades, despite the significant progress of antibiotics and organ support technology have made, the mortality rate of patients with MOF is still high. Obviously,blocking the development of MODS to MOF has become a new treatment strategy to improve the survival rate of patients with MODS nowadays. Therefore, this paper will review the advances in treatment which blocks the development of MODS to MOF in order to further improve treatment strategy for MODS.