摘要
目的了解严重脓毒症患者中急性肾衰竭(ARF)的发生率,总结其临床特征。方法应用临床病例资料统计表,分析我院急诊重症监护病室(EICU)自2007年2月—2008年5月收治的92例严重脓毒症患者的主要临床资料,建立数据库。根据是否出现ARF分组,并进行统计学分析。结果严重脓毒症患者中ARF的发生率为35.9%(n=33)。年龄≥65岁、有基础疾病(尤其是既往有高血压或糖尿病)、序贯器官衰竭评分(SOFA)≥7分、动脉血乳酸值≥2mmol/L、机械通气、凝血异常、休克是严重脓毒症患者合并ARF的危险因素。结论严重脓毒症患者并发ARF的危险性很高,对于具有高危因素的患者,积极采取相应的防范措施具有重要意义。
Objective To evaluate the incidence of acute renal failure （ARF） in severe sepsis patients and its clinical feature.Methods The statistical table for clinical cases was used to analyze the major data of 92 severe sepsis patients who were admitted to our Emergency Intensive Care Unit （EICU）,from February 2007 to May 2008,so as to establish a database.The groups were divided according to whether ARF developed.And statistic analysis was conducted.Results The incidence of ARF was 35.9%（n=33）in the severe sepsis patients.The potential risk factors for the development of ARF in severe sepsis patients were age≥65 years,basal diseases especially hypertension and diabetes,sequential organ failure assessment （SOFA）≥7 score,the content of their arterial lactate≥2 mmol/L,mechanical ventilation,coagulopathy,and shock.Conclusion The incidence of ARF is higher in severe sepsis patients.Active protection and effective treatments are of important significance for the patients with high risk of ARF.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第7期738-740,共3页
Chinese General Practice
