Marshall J C
Keenan Research Centre for Biomedical Science and the Li Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto, 4th Floor Bond Wing, Room 4-007, 30 Bond Street, M5B 1W8, Toronto, Ontario, Canada.
Med Klin Intensivmed Notfmed. 2020 May;115(Suppl 1):15-20. doi: 10.1007/s00063-020-00660-9. Epub 2020 Feb 20.
The support of failing vital organ function, and the prevention of new injury, has been the primary goal of intensive care since its origins more than six decades ago. A primary focus on specific organ system support has led to the concept that the combined dysfunction of these systems represents a syndrome-the multiple organ dysfunction syndrome or MODS. A variety of tools have been developed to quantify the severity of MODS. This review summarizes the conceptual framework that shapes these, their uses as tools in the care and study of critically ill patients, and the issues that will need to be addressed in future refinements. (This article is freely available.).
自六十多年前重症监护诞生以来，支持衰竭的重要器官功能以及预防新的损伤一直是其主要目标。对特定器官系统支持的主要关注催生了这样一种概念，即这些系统的联合功能障碍代表一种综合征——多器官功能障碍综合征（MODS）。已经开发出多种工具来量化MODS的严重程度。本综述总结了形成这些工具的概念框架、它们在重症患者护理和研究中的应用以及未来改进中需要解决的问题。（本文可免费获取。）
