發(fā)布時(shí)間：2018-05-09 21:33

  本文選題：燒傷 + 膿毒癥　； 參考：《解放軍醫(yī)藥雜志》2017年03期

【摘要】：目的研究嚴(yán)重?zé)齻颊吣摱景Y并發(fā)情況,探討影響膿毒癥發(fā)病的因素,降低患者的死亡率。方法選取2015年5月——2016年2月收治的495例嚴(yán)重?zé)齻颊?其中嚴(yán)重?zé)齻l(fā)感染膿毒癥的患者180例為膿毒癥組,剩余315例燒傷患者為非膿毒癥組,研究年齡、性別、燒傷面積、有無吸入性損傷、燒傷原因、入院時(shí)間、首次手術(shù)時(shí)間等7個(gè)可能影響膿毒癥并發(fā)的相關(guān)因素,并比較不同燒傷面積與膿毒癥的發(fā)病關(guān)系。結(jié)果兩組的入院時(shí)間、燒傷面積、是否合并吸入損傷及首次手術(shù)時(shí)間比較差異有統(tǒng)計(jì)學(xué)意義(P0.01)。膿毒癥組燒傷面積為≤50%總體表面積(TBSA)患者少于非膿毒癥組,燒傷面積為51%~80%和80%TBSA的患者多于非膿毒癥組(P0.01)。燒傷面積≥51%TBSA、首次手術(shù)時(shí)間2 d或未行手術(shù)治療是并發(fā)膿毒癥的獨(dú)立危險(xiǎn)因素(P0.01)。結(jié)論影響嚴(yán)重?zé)齻颊吣摱景Y發(fā)病的因素包括燒傷面積與首次手術(shù)時(shí)間,提示及時(shí)治療可能避免膿毒癥發(fā)生。
[Abstract]:Objective to study the complication of sepsis in patients with severe burn and to explore the factors influencing the incidence of sepsis and to reduce the mortality of patients. Methods A total of 495 patients with severe burn were selected from May 2015 to February 2016. 180 cases of severe burn complicated with sepsis and 315 cases of non-sepsis were studied. Burn area, inhalation injury, burn cause, admission time and the first operation time may affect the incidence of sepsis, and compare the relationship between burn area and sepsis. Results there were significant differences in admission time, burn area, combined inhalation injury and first operation time between the two groups (P 0.01). The burn area of patients with sepsis 鈮，

本文編號：1867466