摘要
目的:调查国内多器官功能障碍综合征(multiple organ dysfunction syndrome,MODS)患者脓毒性休克的发生、病死情况。方法:采用多中心、现况调查方法,分析2002年3月—2005年1月全国11省市、37家三级医院1 087例MODS患者的病例情况。结果:1087例患者中,发生脓毒性休克的患者占39.7%,28d住院病死率为60.4%,随着年龄的增长,病死率逐渐上升。结论:脓毒性休克具有较高的病死率。年龄≥55岁、黑便、粪便潜血阳性是MODS患者发生脓毒性休克的主要高危因素,而年龄≥50岁、血pH值<7.35为MODS合并脓毒性休克的患者死亡的高危因素。
Objective：To investigate the main etiological and mortality factors of septic shock in patients with multiple organ dysfunction syndrome（MODS） in China.Methods： A national multi-center,cross-sectional survey of the 1087 patients of MODS admitted to 37 tertiary hospitals in 11 provinces from March 2002 to January 2005 in China.Results： The hospital mortality rate of 1087 MODS cases within 28 days hospitalization was 60.4%.And 39.7% of the cases complicated with septic shock.With the growing of ages,the hospital mortality rate increased steadily.Conclusions： The septic shock related death is still very high.Age≥55 years old,tarry stool,occult blood positive are the main etiological factors leading to septic shock,and the patients of septic shock with age≥50 years old,pH 7.35 are significantly associated with septic shock related death.
出处
《中国临床医学》
2010年第3期436-438,共3页
Chinese Journal of Clinical Medicine
基金
北京市科委科技计划重大项目(编号:H020920050530)
