摘要
对ICU病房的 1 2 5例休克病人进行回顾性分析 ,对心源性休克、低容量性休克、分布性休克和梗阻性休克病人进行比较。发现 :不同类型休克病人的年龄、APACHEⅡ评分及住ICU时间无显著性差异 ;低容量性休克 6 8例 ,占总例数的 5 4 .4 % ,其病死率显著低于其他类型的休克 (P <0 .0 5 )。对分布性休克中的感染性休克与低容量性休克进行了多器官功能障碍综合征 (MODS)发生率和病死率的分析 ,发现感染性休克MODS的发生率和病死率都显著高于低容量性休克 (P <0 .0 5 ) ,MODS是其主要死亡原因。提示 :ICU中感染性休克的病死率高 ,是治疗的重点与难点。
One hundred and twenty-five ICU patients with shock in the recent 10 years were analyzed retrospectively. According to the classification proposed by Weil et al, the shock was classified as hypovolemic shock, distributive shock, cardiogenic shock and obstructive shock. It was found that more than half of the total cases were hypovolemic shock. The mortality of hypovolemic shock was significantly lower than other types of shock. No significant differences were found in age, admission APACHEⅡ score and duration of ICU stay among the 4 types of shock. Septic shock is a subtype of distribution shock. Its morbidity of MODS and mortality was significantly higher than that of the hypovolemic shock.
出处
《首都医科大学学报》
CAS
2002年第1期52-53,共2页
Journal of Capital Medical University
