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脓毒症患者二重感染高危因素分析 被引量:4

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摘要 【目的】探讨脓毒症患者可能继发二重感染的高危因素。【方法】将脓毒症患者住院期间继发了二重感染的分为感染组,未继发二重感染的分为对照组,记录其原发病,基础病,抗生素、激素和静脉用丙种球蛋白(静丙)使用情况,比较两组间入院时血常规、免疫功能、肝肾功能、血细菌培养、生化指标、DIC全套、凝血全套等各项指标的差异,找出脓毒症患者易并发二重感染的高危因素。【结果】感染组中伴基础疾病者的比例,血培养阳性,使用糖皮质激素的比例均高于对照组,抗生素使用时间较对照组为长,且差异有显著性(P<0.05)。【结论】脓毒症患者并有基础病、使用激素、抗生素使用时间延长、血细菌培养阳性、免疫功能异常等为二重感染的高危因素;而使用静丙能减少脓毒症患者继发二重感染的发生。
出处 《医学临床研究》 CAS 2008年第1期122-123,共2页 Journal of Clinical Research
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参考文献9

  • 1盛志勇,姚咏明.脓毒症与多器官功能障碍综合征[J].中华急诊医学杂志,2003,12(10):653-654. 被引量:78
  • 2樊寻梅,武志远.国际儿科脓毒症定义会议介绍[J].中华儿科杂志,2005,43(8):618-620. 被引量:90
  • 3Pruit JH,Wellbom PD, Edward PD, et a l . Increased soluble inteleukin-1 typell receptor concentration in postoperative patients and patients with sepsis syndrome[J]. Blood , 1996,87: 3282-3288.
  • 4Herdeche CD, Hensler T,Weighardt H, et al . Selective defects of T lymphocyte function in patients with lethal intraabdom inal infection[J]. Am J Surg ,1999,178:288-292.
  • 5曾晓辉,周世彦,王平,祝益民.社区获得性肺炎合并脓毒症47例临床分析[J].医学临床研究,2006,23(11):1841-1842. 被引量:8
  • 6Mac Arthur RD, Miller M, Albertson T, et al . Adequacy of early empiric antibiotic treatment and survival in severe sepsis: experience from the MONARCS trial[J]. Clin Infect Dis , 2004,38(2):284-288.
  • 7Hotchkiss RS, Karl IE. The pathophysiology and treatment of sepsis[J]. N Engl J Med , 2003, 348(2): 138-150.
  • 8Rello J,Neira J. Effects of hig-doseofintravenous immunoglobulin and antibiotics on survival for severe sepsis undergoing surgery shock[J]. Shock , 2005,23 : 298-304.
  • 9EL-Nawawy-A, EI-Kinany, Hamdy-EI-sayed, et al . Intravenounspolylonal immunoglobulin admimisatratinon to sepsis syndrome patients:a prospective study in pechatric intensive care unit[J]. Trop prediatr , 2005,52:271-278.

二级参考文献28

  • 1樊寻梅,武志远.国际儿科脓毒症定义会议介绍[J].中华儿科杂志,2005,43(8):618-620. 被引量:90
  • 2Hotchkiss RS, Karl IE. The pathophysiology and treatment of sepsis. N Engl J Mecl, 2003, 348: 138-150.
  • 3Cohen J. The immunopathogenesis of sepsis. Nature, 2002, 420:885-891.
  • 4Wilkinson JD, Pollack MM, Glass NL, et al. Mortality associated with multiple organ system failure and sepsis in pediatric intensive care unit. J Pediatr ,1987, 111:324-328.
  • 5Leteurtre S, Martinot A, Duhamel A, et al. Development of a pediatric multiple organ dysfunction score: use of two strategies.Medical Decision Making,1999, 19:399-410.
  • 6Leteurtre S, Martinot A, Duhamel A, et al. Validation of the paediatric logistic organ dysfunction (PELOD) score: prospective,observational, muhicentre study. Lancet, 2003,362 : 192-197.
  • 7Graciano AL, Balko JA, Rahn DS, et al. Development and validation of a pediatric multiple organ dysfunction score (PMODS). Crit Care Med,2001, 29(Suppl) :A176.
  • 8Goldstein B, Giroir B, Randolph A, et al. International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med, 2005,6:2-8.
  • 9Carcillo JA, Fields AI. Clinical practice parameters for hemodynamic support of pediatric and neonatal patients in septic shock. Crit Care Med, 2002, 30:1365-1378.
  • 10Parker MM. Pathophysiology of cardiovascular dysfunction in septic shock. New Horiz, 1998, 6:130-138.

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