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报道152例小儿重症肺炎并发MSOF。结果合并肺功能及心力衰竭100%,脑功能衰竭60.5%。DIC24.3%,胃肠功能衰竭7.2%。本组病例均并发了肺功能和心力衰竭,提示肺部重症感染,低氧血症是并发MSOF的重要原因。总结了并发MSOF后,在综合治疗基础上,及时合理使用血管活性药,氨茶碱及甘露醇,顽固性心衰时补镁均可收到良好的效果。结果治愈率71.7%,好转出院4.6%,死亡率23.7%。有并存症及年龄小的患儿易并发MSOF。器官功能衰竭与予后呈正相关,器官功能衰竭数增多,病死率明显增高。
Reported 152 cases of pediatric severe pneumonia complicated by MSOF. Results Pulmonary function and heart failure 100%, brain failure 60.5%. DIC24.3%, gastrointestinal failure 7.2%. The patients were complicated by pulmonary function and heart failure, suggesting that severe pulmonary infection, hypoxemia is an important cause of complicated MSOF. Summarized the concurrent MSOF, on the basis of comprehensive treatment, timely and rational use of vasoactive drugs, aminophylline and mannitol, magnesium refractory heart failure can receive good results. Results The cure rate was 71.7%, the improvement was 4.6% and the mortality rate was 23.7%. There are complications and younger children prone to complicated MSOF. There was a positive correlation between organ failure and pre-treatment, an increase in the number of organ failure, mortality was significantly increased.