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作者对200例重症急性胆管炎(ACST)及其中70例并发多器官功能衰竭(MOF)的临床过程和可能的发病因素进行了分析。结果发现:早期循环休克、营养不良、肺部感染、败血症及长期胆道梗阻等使MDF发生率明显增高(P<0.05)。认为早期监护高危病人和综合治疗是降低MOF死亡率的关键。
The authors analyzed the clinical course and possible pathogenesis of 200 severe acute cholangitis (ACST) and 70 of them complicated with multiple organ failure (MOF). The results showed that: early circulatory shock, malnutrition, pulmonary infection, sepsis and long-term biliary obstruction so that the incidence of MDF increased significantly (P <0.05). High-risk patients in early care and general treatment are considered key to reducing MOF mortality.