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Multiorganversagen

  • W. F. List

Zusammenfassung

Unter Multiorganversagen (MOV) wird ein sequentiell auftretendes Funktionsversagen verschiedener lebenswichtiger Organsysteme innerhalb einer kurzen Zeitspanne verstanden. Aus einer umfangreichen Literatur über multiples Organversagen geht hervor, daß praktisch jedes Einzelorgan bei Funktionsversagen und bei gleichzeitiger schwerer Krankheit oder nach chirurgischen Großeingriffen Beginn für ein MOV sein kann. Die Frequenz des Multiorganversagens liegt nach Frey (1980) bei chirurgischen Risikopatienten bei 5–10%, bei Knaus (1985) in einer prospektiven Sammelstudie von Intensivpatienten aus 13 US-Spitälern bei 24%, wobei sowohl medizinische als auch chirurgische Krankheitsbilder bei Erwachsenen erhoben wurden. Bei 831 Patienten einer Sammelstudie aus pädiatrischen Intensivstationen lag die Inzidenz des Multiorganversagens bei 27% (Wilkinson 1986).

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Literatur

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Copyright information

© Springer-Verlag Berlin Heidelberg 1992

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  • W. F. List

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