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[重症急性胰腺炎多器官功能障碍模式的预后价值]

[Prognostic value of the pattern of multiple organ dysfunctions in severe acute pancreatitis].

作者信息

Lutfarakhmanov I I, Mironov P I, Timerbulatov V M

出版信息

Anesteziol Reanimatol. 2007 Mar-Apr(2):44-7.

Abstract

A relationship was studied between the outcomes of severe acute pancreatitis and the pattern and multiple organ dysfunctions in 72 patients. Organ dysfunction was observed in 39 (54.2%) patients: multiple organ dysfunction (MOD) in 20 (27.8%) patients and dysfunction of an organ or a system in 19 (26.4%). The deceased patients had a statistically significantly higher incidence of MOS than the survivors (88.2% versus 9.1%; p < 0.01). Logistic regression showed that only respiratory and neurological dysfunctions were the factors that predispose to death.

摘要

对72例重症急性胰腺炎患者的预后与多器官功能障碍模式之间的关系进行了研究。39例(54.2%)患者出现器官功能障碍:20例(27.8%)患者出现多器官功能障碍(MOD),19例(26.4%)患者出现一个器官或一个系统的功能障碍。死亡患者的多器官功能障碍发生率在统计学上显著高于存活患者(88.2%对9.1%;p<0.01)。逻辑回归显示,只有呼吸和神经功能障碍是导致死亡的因素。

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