[Evaluation of organ function monitoring and supporting during the treatment of multiple trauma].
OBJECTIVE
To analyse the evaluation of organ function monitoring and supporting during the treatment of multiple trauma.


METHODS
Eighty-eight patients with severe multiple trauma were admitted into Department of Intensive Care Unit(ICU) and the cardiovascular, respiratory, renal, and coagulation functions, milieu interieur, and infectious sources were monitored.


RESULTS
Seventy-six cases survived and twelve cases died. The major delayed diagnoses included pneumothorax hematopneumothorax, intraperitoneal organ injury, and fracture. The major complications were severe infection, hypotension, acute renal failure, adult respiratory distress syndrome (ARDS), and multiple organ disfunction syndrome(MODS).


CONCLUSIONS
Active monitor and support of organ function can lower the rate of missed or delayed diagnoses and also decrease complications.
Xu
D M
DM
Department of Intensive Care Unit, Xiangya Hospital, Hunan Medical University, Changsha 410008.
Xu
Q M
QM
Ai
Y H
YH
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000628:therapy*; D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D009102:Multiple Organ Failure / Q000517:prevention & control*; D009104:Multiple Trauma / Q000503:physiopathology* / Q000628:therapy; D010384:Pelvic Bones / Q000293:injuries