Multiple-organ-failure syndrome.

Multiple-organ-failure syndrome.
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DOI:
10.1001/archsurg.1986.01400020082010
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发表时间:
1986-02
影响因子:
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通讯作者:
C. Carrico;J. Meakins;J. Marshall;D. Fry;R. Maier
C. Carrico;J. Meakins;J. Marshall;D. Fry;R. Maier
中科院分区:
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文献类型:
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作者:
C. Carrico;J. Meakins;J. Marshall;D. Fry;R. Maier

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多器官衰竭综合征的发病率和问题 参与讨论的小组成员是来自西雅图的 C. James Carrico 医学博士; Jonathan Meakins,医学博士、理学硕士、FRCSC、FACS,来自蒙特利尔;唐纳德·弗莱 (Donald Fry),医学博士,来自克利夫兰;和来自西雅图的医学博士 Ronald V. Maier。 Carrico 博士:多器官衰竭 (MOF) 综合征是 7% 至 22% 的紧急手术和 30% 至 50% 的腹内败血症手术后发生的过程; MOF 综合征的死亡率从 30% 到 100% 不等,具体取决于所涉及器官的数量。治疗通常涉及支持器官(系统)功能和控制脓毒症。 1,2 在制定临床描述时,我们可以使用 20 世纪 60 年代末呼吸衰竭的经典描述作为模型。我们需要描述多个系统的功能,而不是单个器官,并跟踪一系列阶段的变化,从最近经历过某个阶段的患者开始
INCIDENCE AND PROBLEMS OF MULTIPLE-ORGAN-FAILURE SYNDROMES The panelists for the discussion were C. James Carrico, MD, from Seattle; Jonathan Meakins, MD, DSc, FRCSC, FACS, from Montreal; Donald Fry, MD, from Cleveland; and Ronald V. Maier, MD, from Seattle. Dr Carrico: Multiple-organ-failure (MOF) syndrome is a process that occurs following 7% to 22% of emergency operations and between 30% and 50% of operations for intra-abdominal sepsis; MOF syndrome carries a mortality that varies from 30% to 100% depending on the number of organs involved. Treatment usually involves support of the organ (system) function and control of sepsis. 1,2 In developing a clinical description, we can use a classic description of respiratory failure from the late 1960s as a model. Rather than a single organ we need to describe the function of several systems and follow the changes through a series of stages, beginning with the patient who has recently experienced one