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急诊重症监护室脓毒症患者死亡危险因素分析

  

  1. 天津医科大学第二医院 EICU,天津 300211
  • 出版日期:2017-06-05 发布日期:2017-06-01
  • 通讯作者: 通信作者:何新飙,Email:hexinbiaoqz@163.com
  • 基金资助:
    天津市自然科学基金资助项目(09JCYBJC11300)

Risk factors for death patients with sepsis in EICU

  1. Emergency Intensive Care Unit,the Second Hospital of Tianjin Medical University,Tianjin 300211, China
  • Online:2017-06-05 Published:2017-06-01
  • Contact: Corresponding author: He Xinbiao,Email: hexinbiaoqz@163.com

摘要: 目的 探讨急诊重症监护室(EICU)脓毒症患者死亡危险因素。方法 回顾性分析EICU住院时间超过48小时的268例脓毒症患者的临床资料,收集基础资料、入院48小时最差实验室指标、主要干预治疗措施及预后。分析EICU脓毒症患者死亡危险因素。结果 268例患者好转出院163例,死亡105例,病死率39.2%。丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、乳酸、休克是EICU脓毒症患者死亡的独立危险因素,24小时尿量、机械通气(MV)的使用是EICU脓毒症患者死亡的保护因素。结论 ALT、AST、乳酸、休克、24小时尿量、MV的使用对EICU脓毒症患者预后具有重要意义。

关键词: 脓毒症, 重症监护病房, 死亡, 危险因素

Abstract: Objective    To explore the risk factors of death with sepsis patients in EICU. Methods    Retrospectively analysis  was performed on 268 cases who admitted in EICU within more than 48 h. Epidemiological data, the worst laboratory indexes, the main intervention treatment and prognostic outcomes were recorded. The risk factors of death of septic patients in EICU were analyzed by logical regression. Results    A total of 163 cases were discharged from hospital with improved condition, 105 cases were death. The death rate was 39.2%. Multivariable logistic analysis indicated that  alanine transaminase (ALT), aspartate transaminase (AST), lactic acid (Lac), shock were the independent risk factors of septic patients in EICU, urine volume (UV) and mechanical ventilation (MV) were protective factors.Conclusion    ALT, AST, Lac, shock, UV and MV are of great significance in prognosis evaluation of sepsis patients in EICU.

Key words: sepsis, intensive care unit, death, risk factors