感染性休克211例临床特征分析

发布时间：2018-04-16 12:02

  本文选题：感染性休克 + 临床特征　； 参考：《广东医学》2017年06期

【摘要】：目的探讨感染性休克临床特征变化,为提高临床诊疗提供参考。方法回顾211例ICU收治且诊断为感染性休克的病例,对其临床特征进行分析。根据结局分为生存组和死亡组,对入住ICU原因、并存疾病、并发症和感染来源进行分析。结果死亡89例,病死率42.2%。感染性休克患者例数占同期ICU总收治患者例数12.9%。入住ICU原因以呼吸疾病(44.5%)和胃肠道疾病(17.5%)多见;并存疾病以高血压病(29.4%)、2型糖尿病(28%)、心脏疾病(25.6%)和肺部疾病(18.5%)多见;并发多器官功能障碍综合征(MODS)(61.1%)和急性肾损害(11.8%)常见;常见感染源是肺(49.8%)和腹腔内(23.7%)的感染。Logistic回归分析提示APACHEⅡ评分、因呼吸疾病入住ICU、并存高血压病、并发MODS、中枢感染为感染性休克预后的独立危险因素。结论感染性休克是ICU的主要病种,病死率高。APACHEⅡ评分、因呼吸疾病入住ICU、并存高血压病、并发MODS、中枢感染影响感染性休克患者的预后。
[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，

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