發(fā)布時間：2018-07-31 13:46

【摘要】：目的研究細(xì)菌性血流感染患兒入院48 h內(nèi)發(fā)熱程度與預(yù)后的關(guān)系。方法回顧性統(tǒng)計了2008年9月至2016年9月間入住中國醫(yī)科大學(xué)附屬盛京醫(yī)院兒科重癥監(jiān)護病房(PICU)所有診斷為膿毒癥的病例資料,篩選出符合細(xì)菌性血流感染的病例,根據(jù)其入院48 h內(nèi)最高體溫將其分為5組:36.5℃組,36.5℃~組(正常對照),37.5℃~組,38.5℃~組和39.5℃~組,比較5組病死率有無差異。結(jié)果符合細(xì)菌性血流感染的病例共213例,其中36.5℃組5例,36.5℃~組44例,37.5℃~組73例,38.5℃~組69例,39.5℃~組22例。213例患兒中,死亡48例。5組病死率比較差異有統(tǒng)計學(xué)意義(P0.01),其中36.5℃組及39.5℃~組病死率顯著高于正常對照組,差異有統(tǒng)計學(xué)意義;其他兩組(37.5℃~組和38.5℃~組)與正常對照組比較差異無統(tǒng)計學(xué)意義。結(jié)論細(xì)菌性血流感染患兒入院48 h內(nèi)最高體溫低于36.5℃或高于39.5℃者病死率會明顯升高。
[Abstract]:Objective to study the relationship between the degree of fever and prognosis in children with bacterial blood flow infection within 48 hours after admission. Methods from September 2008 to September 2016, all the cases diagnosed as sepsis in the pediatric intensive care unit (PICU) of Shengjing Hospital affiliated to China Medical University were retrospectively analyzed, and the cases of bacterial blood flow infection were screened out. According to their highest body temperature within 48 hours after admission, they were divided into 5 groups: 36.5 鈩，

本文編號：2155768