發(fā)布時(shí)間：2018-04-16 12:02

  本文選題：感染性休克 + 臨床特征�。� 參考：《廣東醫(yī)學(xué)》2017年06期

【摘要】：目的探討感染性休克臨床特征變化,為提高臨床診療提供參考。方法回顧211例ICU收治且診斷為感染性休克的病例,對其臨床特征進(jìn)行分析。根據(jù)結(jié)局分為生存組和死亡組,對入住ICU原因、并存疾病、并發(fā)癥和感染來源進(jìn)行分析。結(jié)果死亡89例,病死率42.2%。感染性休克患者例數(shù)占同期ICU總收治患者例數(shù)12.9%。入住ICU原因以呼吸疾病(44.5%)和胃腸道疾病(17.5%)多見;并存疾病以高血壓病(29.4%)、2型糖尿病(28%)、心臟疾病(25.6%)和肺部疾病(18.5%)多見;并發(fā)多器官功能障礙綜合征(MODS)(61.1%)和急性腎損害(11.8%)常見;常見感染源是肺(49.8%)和腹腔內(nèi)(23.7%)的感染。Logistic回歸分析提示APACHEⅡ評分、因呼吸疾病入住ICU、并存高血壓病、并發(fā)MODS、中樞感染為感染性休克預(yù)后的獨(dú)立危險(xiǎn)因素。結(jié)論感染性休克是ICU的主要病種,病死率高。APACHEⅡ評分、因呼吸疾病入住ICU、并存高血壓病、并發(fā)MODS、中樞感染影響感染性休克患者的預(yù)后。
[Abstract]:Objective to explore the changes of clinical features of septic shock and to provide reference for clinical diagnosis and treatment.Methods the clinical features of 211 ICU patients with septic shock were analyzed retrospectively.According to the outcome, the survival group and the death group were divided into two groups. The causes of admission to ICU, coexisting diseases, complications and sources of infection were analyzed.Results 89 cases died and the mortality was 42.2%.Septic shock patients accounted for the total number of patients admitted to ICU in the same period 12.9.The main reasons for admission to ICU were respiratory diseases (44.5) and gastrointestinal diseases (17.5); co-existing diseases were hypertension (29.4B) type 2 diabetes mellitus (2.28%), heart disease (25.65.6m) and lung disease (18.5g); complicated multiple organ dysfunction syndrome (MODS) 61.1) and acute renal damage (11.8B).Logistic regression analysis indicated that APACHE 鈪，

本文編號：1758795