【摘要】 目的 探讨重症胸外伤合并多器官功能障碍综合征的临床救治及预防措施，以提高其治疗效果。方法 回顾分析我院外科监护室从2001年1月~2005年6月收治的12例重症胸外伤合并多器官功能失常病例的临床资料，着重研究其发生原因和临床救治及预防措施。结果 本组多器官功能失常的发生率占重症胸外伤的比例为8.2%，主要为脑、心、肺、肝、肾和消化道应激性溃疡出血等多器官功能失常，在一系列积极的抢救措施下仍有5例死亡，死亡率为41.6%。结论 重症胸外伤合并多器官功能失常来势凶猛，病情危重，对具有多器官功能失常可能的患者需采取积极的预防和救治措施，以降低多器官功能衰竭的发生率和死亡率。

    【关键词】 胸部损伤;多器官功能障碍综合征;治疗结果

    Clinical analysis of multiple organ disfunction syndrome following severe thoracic trauma

    SHAO Li-xin，SHEN Bo-ming,JIN Wei,et al.Department of Thoracic Surgery，Qingpu Branch of Zhongshan Hospital，Shanghai 201700，China

    【Abstract】 Objective To analyze the treatment and prevention of multiple organ disfunction syndrome complicating severe thoracic trauma so as to improve the outcome of treatment.Methods 12 cases with multiple organ disfunction syndrome following severe thoracic trauma were reviewed and the cause，treatment and prevention were mainly studied.Results The incidence of multiple organ disfunction syndrome was 8.2% following severe thoracic injuries,which mainly occurred in encephalon ......