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目的:研究重症监护病房中感染性休克患者进行早期目标导向治疗的预后。方法:选择2005年2月-2012年2月于我院重症监护室观察治疗的36例感染性休克患者,将2005年2月-2007年2月进行治疗的患者作为对照组,2007年3月-2012年2月进行治疗的患者作为研究组,对比两组患者MODS和病死率方面的差异。结果:研究组17例患者中,有2例发生MODS,发生率为11.76%,3例死亡,病死率为17.65%;对照组19例患者中,有4例发生MODS,发生率为21.53%,6例死亡,死亡率为31.58%,两组的MODS发生率和病死率有统计学差异(P<0.05)。结论:对急性颅内出血的患者,应着重强调保持呼吸道通畅,加强吸痰与气道湿化,加强监护,密切观察病情变化,以期达到最佳治疗效果。
Objective: To study the prognosis of early goal-directed therapy in septic shock patients in intensive care unit. Methods: Thirty-six patients with septic shock who were treated in intensive care unit of our hospital from February 2005 to February 2012 were selected as the control group. The patients treated from February 2005 to February 2007 were selected as the control group. In March 2007 - Patients treated in February 2012 served as study groups to compare differences in MODS and case fatality between the two groups. Results: MODS occurred in 2 of 17 patients in study group, the incidence rate was 11.76%, 3 deaths were caused, the case fatality rate was 17.65%. In the control group, MODS occurred in 4 of the 19 patients (21.53%), 6 died, the death rate was 31.58%. There was a significant difference in the incidence of MODS and mortality between the two groups (P <0.05). Conclusion: Patients with acute intracranial hemorrhage should pay attention to maintaining the airway patency, strengthen the suction and airway humidification, strengthen guardianship, closely observe the condition changes, in order to achieve the best therapeutic effect.