就诊时心力衰竭对感染性休克患者生存状况的影响

doi:10.3969/j.issn.1671-7171.2020.02.030

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摘要 【目的】探讨就诊时心力衰竭对感染性休克患者生存状况影响。【方法】选取2016年6月至2018年6月本院收治的82例感染性休克患者,根据就诊时是否合并心力衰竭将其分为观察组(合并心力衰竭)和对照组(不合并心力衰竭),每组各41例。比较两组患者的机械通气时间和住院时间、急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分以及全身炎症反应综合征(SIRS)、多器官功能障碍综合征(MODS)的发生率和死亡率。【结果】观察组患者机械通气时间和住院时间均高于对照组,APACHEⅡ评分小于对照组患者,差异具有统计学意义(P<0.05)。观察组患者发生SIRS 22例(53.66%)、MODS 23例(56.10%),死亡人数为13例(31.70%),对照组患者发生SIRS 13例(31.71%),MODS 15例(36.59%),死亡人数为6例(14.63%),两组患者的SIRS的发生率、MODS的发生率和死亡率比较均具有统计学意义(P<0.05)。【结论】就诊时心力衰竭会影响感染性休克患者的预后,增加机械通气时间和住院时间,增加MODS的发生率和死亡率,威胁患者的生存状况,临床上对此类患者应高度重视。

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	王可
	汪洋

关键词 ：心力衰竭, 休克,脓毒性

Abstract：【Objective】To explore the effect of heart failure on the survival of patients with septic shock.【Methods】 Eighty-two patients with septic shock admitted to our hospital from June 2016 to June 2018 were divided into the observation group (complicated with heart failure) and the control group (without heart failure) according to whether they had heart failure at the time of treatment, 41 in each group. The time of mechanical ventilation and hospitalization, the score of acute physiology and chronic health status Ⅱ (APACHE Ⅱ), the incidence and mortality of systemic inflammatory response syndrome (SIRS) and multiple organ dysfunction syndrome (MODS) were compared between the two groups.【Results】 The time of mechanical ventilation and hospital stay in the observation group were higher than those in the control group, and Apache Ⅱ score was lower than that in the control group, the difference was statistically significant (P<0.05). There were 22 cases of SIRS (53.66%), 23 cases of MODS (56.10%), 13 cases of death (31.70%), 13 cases of SIRS (31.71%), 15 cases of MODS (36.59%) and 6 cases of death (14.63%) in the observation group. The incidence of SIRS, the incidence and mortality of MODS in the two groups were statistically significant (P<0.05).【Conclusion】 Heart failure will affect the prognosis of patients with septic shock, increase the time of mechanical ventilation and hospitalization, increase the incidence and mortality of MODS, and threaten the survival of patients. Clinical attention should be paid to such patients.

Key words： Heart Failure Shock,Septic

收稿日期: 2018-10-24

PACS:

R541.61

通讯作者: E-mail: 422257925@qq.com

引用本文:

王可, 汪洋. 就诊时心力衰竭对感染性休克患者生存状况的影响[J]. 医学临床研究, 2020, 37(2): 259-261.
WANG Ke, WANG Yang. Effect of Heart Failure on the Survival of Patients with Septic Shock. JOURNAL OF CLINICAL RESEARCH, 2020, 37(2): 259-261.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.02.030 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I2/259

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