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目的探讨综合治疗法对腹部外科严重脓毒症的61例临床治疗效果。方法将从A医院选取2008.1-2012.1期间的61位患有腹部外科严重脓毒症患者,根据病情,分为综合治疗组和经验治疗组。结果结果表明,发病早期两组PCT均明显增高,而就死亡率来看,综合组(32.5%)比经验组(66.7%)几乎少一半(32.4%)(P=0.011)。结论当PCT水平增加,可以帮助患者早期诊断脓毒症。在早期目标指导下,根据患者病情程度,采取多种综合治疗法,可以很好地改变患者预后,同时对机械通气、CRRT比率都会降低,更有益于器官功能障碍的恢复。
Objective To investigate the clinical effect of comprehensive therapy on severe sepsis in abdominal surgery. Methods A total of 61 patients with severe sepsis with abdominal surgery during the period from January 2008 to January 2012 were selected from Hospital A, and were divided into comprehensive treatment group and experienced treatment group according to their condition. Results The results showed that both PCT groups were significantly increased in the early stages of disease, and in terms of mortality, the combined group (32.5%) was almost half as less (32.4%) than the experienced group (66.7%) (P = 0.011). Conclusions As PCT levels increase, patients can be diagnosed early for sepsis. Under the guidance of the early targets, according to the severity of the patient, taking a variety of comprehensive treatment, can well change the prognosis of patients, while the mechanical ventilation, CRRT rate will be reduced, more conducive to the recovery of organ dysfunction.