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重视床旁超声在多器官功能衰竭中的应用
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Emergency Medicine
- Issue:
- 8
- DOI:
- 10.3760/cma.j.issn.1671-0282.2015.08.002
- Key Word:
- No keyword available
Abstract： 多器官功能障碍综合征(multiple organ dysfunction syndrome,MODS)是重症患者死亡的主要原因,病死率高达50％～100％[1].MODS指机体在遭受感染、创伤、休克等严重应激后,同时或序贯出现两个或两个以上器官功能障碍或衰竭的临床综合征.顾名思义,MODS是一个连续、序贯的发展过程,受损的各器官、各系统关系复杂,互相影响,互相促进病情改变.临床医生早期识别器官功能不全,动态评估器官功能变化,根据病情不同阶段和疾病严重程度,进行“裁定式”干预治疗是MODS治疗的核心环节.近年来,由急诊/重症医学科医生行床旁超声检查,逐渐成为危重症患者管理的重要手段.床旁超声具有动态、实时、可重复操作的优势,能动态和量化评估器官功能,有助于读懂相邻器官之间的交叉干扰(cross-talk),为MODS患者的治疗调整提供及时、准确的指导[1].
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