【摘要】 目的 由于ICU内多脏器功能衰竭的发生率与病死率极高，对高危病人进行严密监测，做到早诊断、早治疗，积极护理，阻断由单一受累脏器向多脏器发展的病理生理过程从而降低病死率。 方法 对各个脏器功能进行密切监护和及早进行支持治疗，从而阻断由单一受累脏器向多脏器发展的病理生理过程至关重要。 结果 肺部改变、肾改变、脑改变、心血管改变、胃肠道改变、肝脏改变、弥散性血管内凝血是导致多脏器功能衰竭濒死期的常见原因。脏器衰竭越多，病死率越高，两个器官衰竭病死率为31%，3个达72.2%，4个为100%。 结论 做好严密的观察监测及积极护理，是维持良好的呼吸、循环、胃肠功能、肾功能，使器官受损的严重性和数目降到最低限度。

    【关键词】 多脏器功能衰竭 监测 护理

    Monitoring and nursing of patients with multi-organ dysfunction

    Zhu Mingli

    The Department of Severe Sick Medicine，The First People's Hospital，Hangzhou，Zhejiang310000.

    【Abstract】 Objective To monitor high risk patients intensively who probably have high morbidity and mor-tality of multi-organ dysfunction in ICU，therefore to diagnosis and treat them earlier，and nurse them more actively，in order to block the pathophysiological processes from individual organ to multi-organ.Methods To monitor the function of each organ closely and take step of supportive treatment as soon as possible，in order to block the patho-physiological processes from individual organ to multi-organ.Results The common reasons of multi-organ dysfunc-tion are pathological changes in lung ......