严重烧伤患者脓毒症并发情况及其影响因素分析

发布时间：2018-05-09 21:33

  本文选题：烧伤 + 脓毒症　； 参考：《解放军医药杂志》2017年03期

【摘要】：目的研究严重烧伤患者脓毒症并发情况,探讨影响脓毒症发病的因素,降低患者的死亡率。方法选取2015年5月——2016年2月收治的495例严重烧伤患者,其中严重烧伤并发感染脓毒症的患者180例为脓毒症组,剩余315例烧伤患者为非脓毒症组,研究年龄、性别、烧伤面积、有无吸入性损伤、烧伤原因、入院时间、首次手术时间等7个可能影响脓毒症并发的相关因素,并比较不同烧伤面积与脓毒症的发病关系。结果两组的入院时间、烧伤面积、是否合并吸入损伤及首次手术时间比较差异有统计学意义(P0.01)。脓毒症组烧伤面积为≤50%总体表面积(TBSA)患者少于非脓毒症组,烧伤面积为51%~80%和80%TBSA的患者多于非脓毒症组(P0.01)。烧伤面积≥51%TBSA、首次手术时间2 d或未行手术治疗是并发脓毒症的独立危险因素(P0.01)。结论影响严重烧伤患者脓毒症发病的因素包括烧伤面积与首次手术时间,提示及时治疗可能避免脓毒症发生。
[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，

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