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本文报道婴幼儿喘憋性肺炎并发MSOF51例,结果合并心力衰竭100%,呼吸衰竭64.7%,胃肠衰45.1%,脑衰16.3%,肾衰11.8%,凝血机制障碍7.8%,肝衰5.9%。MSOF均在严重喘憋基础上发生,提示本病通气障碍及换气障碍导致严重低氧血症与高碳酸血症、代谢性和呼吸性酸中毒是MSOF的重要原因,器官功能衰竭与预后有密切关系,器官衰竭数增多,病死率明显增高。指出本病应具有预见性、针对性,有效的控制肺部感染,改善通气及换气功能,吸氧,统筹兼顾支持脏器功能,改善肺微循环障碍为主的全身微循环障碍是防治重症喘憋性肺炎MSOF的关键。
This article reports infantile asthmatic pneumonia complicated by MSOF51 cases, the results of 100% with heart failure, respiratory failure 64.7%, gastrointestinal failure 45.1%, cerebral failure 16.3%, renal failure 11.8%, coagulation disorders 7.8%, liver failure 5.9% . MSOF occurred on the basis of severe wheezing, suggesting that the disease ventilation and ventilation disorders lead to severe hypoxemia and hypercapnia, metabolic and respiratory acidosis is an important cause of MSOF, organ failure and prognosis Closely related to the increase in the number of organ failure, mortality was significantly increased. Pointed out that the disease should be predictable, targeted and effective control of lung infection, improve ventilation and ventilation, oxygen, overall support both organ function, improve microcirculation of the main systemic microcirculation disorder is prevention and treatment of severe disease The key to wheezing pneumonia MSOF.