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脓毒症合并活动性结核危重患者的死亡危险因素分析

发布时间:2018-06-10 10:05

  本文选题:脓毒症 + 结核 ; 参考:《四川大学学报(医学版)》2016年04期


【摘要】:目的探讨脓毒症合并活动性结核危重患者死亡的危险因素。方法对四川大学华西医院重症医学科符合入选标准的61例患者进行回顾性分析,将患者按照出院结局,分为死亡组19例,存活组42例,筛选出可能与预后相关的因素,进行logistic回归分析。结果急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分、结核菌痰涂片阳性、结核延迟治疗和急性肾损伤可作为患者死亡的独立危险因素。结论脓毒症合并活动性结核危重患者死亡率高。APACHEⅡ评分、结核菌痰涂片阳性、结核延迟治疗和急性肾损伤是影响这类患者预后的重要因素。
[Abstract]:Objective to investigate the risk factors of death in patients with sepsis complicated with active tuberculosis. Methods A retrospective analysis was made on 61 patients who met the inclusion criteria in the Department of intensive Medicine, Huaxi Hospital, Sichuan University. According to the outcome of discharge, the patients were divided into death group (n = 19) and survival group (n = 42). The factors related to prognosis were screened out. Logistic regression analysis was performed. Results Acute physiology and chronic health status scoring system 鈪,

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