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总结了我院儿科1979年1月至1990年1月11年收治的小儿肺炎4254例,合并多器官功能衰竭(MOF)166例,其发生率为3.9％。MOF166例中治愈62例,死亡104例,MOF的病死率为62.65％。病死率与受累器官的多少呈正相关,受损害器官越多,病死率越高。本组2个器官功能衰竭病死率45.05％,3个者病死率80.32％,4个、5个器官病死率达100％。受累器官中以呼衰、心衰发生率最高达100％,其次为脑衰28.92％,DIC11.45％,肝衰10.84％,肾衰10.24％,胃肠粘膜衰竭8.43％。文中还讨论了发病机理、早期诊断、诱发因素和防治措施。
Summarized the pediatric pneumonia in our hospital from January 1979 to January 1990 admitted 4254 cases of pneumonia in children, combined with multiple organ failure (MOF) in 166 cases, the incidence was 3.9%. In MOF166 cases, 62 cases were cured and 104 cases died. The mortality rate of MOF was 62.65%. Mortality and organ involvement was positively correlated with the number of damaged organs, the higher the case fatality rate. The two cases of organ failure mortality 45.05%, 3 fatality rate 80.32%, 4, 5 organ mortality rate of 100%. The affected organs were respiratory failure, the highest incidence of heart failure up to 100%, followed by 28.92% of brain failure, DIC11.45%, liver failure 10.84%, 10.24% of renal failure, gastrointestinal mucosal failure 8.43%. The article also discusses the pathogenesis, early diagnosis, predisposing factors and prevention and treatment measures.