急诊重症肺炎并发感染性休克的治疗分析
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摘要
目的分析急诊重症肺炎并发感染性休克的临床治疗效果。方法选取我院2017年11月—2018年11月收治的60例急诊重症肺炎并发感染性休克患者进行研究,所有患者均接受常规治疗,观察分析60例患者治疗的影响因素,研究60例患者的临床疗效。结果 60例患者中,死亡10例,抢救成功率为83.33%。机械通气和无机械通气成功率和死亡率之间差异不具有统计学意义,P> 0.05;有无消化道出血、一般或良好营养状况方面差异有统计学意义,P <0.05。多因素logistic回归分析显示,肺叶受累情况、有无消化道出血、器官受累情况、营养状况是影响患者治疗效果的重要因素。结论消化道出血率、营养状况、器官受累数量是影响急诊重症肺炎并发感染性休克的治疗效果的重要因素,根据上述因素采用针对性治疗措施可以降低死亡率。
Objective To analyze the clinical effect of emergency pneumonia complicated with septic shock. Methods A total of 60 patients with severe acute pneumonia complicated with septic shock admitted to our hospital from November 2017 to November 2018 were enrolled. All patients underwent routine treatment. The influencing factors of 60 patients were analyzed and 60 patients were studied. Clinical efficacy. Results Of the 60 patients, 10 died and the success rate was 83.33%. There was no statistically significant difference between the success rate of mechanical ventilation and non-mechanical ventilation, P > 0.05. There was significant difference in the presence or absence of gastrointestinal bleeding, general or good nutritional status, P < 0.05. Multivariate logistic regression analysis showed that the involvement of the lobes, the presence or absence of gastrointestinal bleeding, organ involvement, and nutritional status were important factors influencing the patient's treatment. Conclusion Gastrointestinal bleeding rate, nutritional status, and organ involvement are important factors influencing the treatment of severe pneumonia complicated with septic shock. Targeted treatment measures can reduce mortality according to the above factors.
Objective To analyze the clinical effect of emergency pneumonia complicated with septic shock. Methods A total of 60 patients with severe acute pneumonia complicated with septic shock admitted to our hospital from November 2017 to November 2018 were enrolled. All patients underwent routine treatment. The influencing factors of 60 patients were analyzed and 60 patients were studied. Clinical efficacy. Results Of the 60 patients, 10 died and the success rate was 83.33%. There was no statistically significant difference between the success rate of mechanical ventilation and non-mechanical ventilation, P > 0.05. There was significant difference in the presence or absence of gastrointestinal bleeding, general or good nutritional status, P < 0.05. Multivariate logistic regression analysis showed that the involvement of the lobes, the presence or absence of gastrointestinal bleeding, organ involvement, and nutritional status were important factors influencing the patient's treatment. Conclusion Gastrointestinal bleeding rate, nutritional status, and organ involvement are important factors influencing the treatment of severe pneumonia complicated with septic shock. Targeted treatment measures can reduce mortality according to the above factors.
引文
[1]杨存岳,魏明龙.急诊重症肺炎并发感染性休克的临床分析与探讨[J].临床医药文献电子杂志,2016,3(24):4778,4780.
[2]卢德芳.急诊重症肺炎并发感染性休克的临床治疗及护理措施[J].中国实用医药,2017,12(32):171-172.
[3]优丽土孜·托乎提,再努拉·阿不都艾尼.重症肺炎及感染性休克的集束治疗[J].临床医药文献电子杂志,2017,4(54):10529,10532.
[4]崔娜.急诊重症肺炎并发感染性休克的临床分析[J].临床医药文献电子杂志,2017,4(59):11485-11486.
[5]刘同英.急诊重症肺炎患者感染性休克的临床分析及干预对策[J].世界最新医学信息文摘,2016,16(92):220-221.
[6]郑淋,叶燕琴,黄晓铃.急诊重症肺炎并发感染性休克的护理体会[J].基层医学论坛,2018,22(12):1666,1674.
[7]褚庆霞.重症肺炎及感染性休克的快速治疗方案和急性用药指导[J].现代中西医结合杂志,2012,21(34):3824-3825.
[8]李永召.多巴胺联合酚妥拉明治疗急诊重症肺炎合并心力衰竭的效果分析[J].河南医学研究,2018,27(6):1046-1047.
[9]温慧兰,卢耀能,罗以娟,等. 598例感染性休克患者疾病谱分析[J].中国病案,2018,19(1):42-44.
[10]林宗钦,张欢欢,关开泮,等.影响老年重症肺炎患者死亡的危险因素分析[J].河北医学,2018,24(1):142-145.
[11]钟兵,连炳新,鲍朝海.急诊重症肺炎并发感染性休克的临床治疗及护理措施[J].中国社区医师,2016,32(25):166,168.
[12]贾秀珍,王浩.重症肺炎患者感染性休克的临床分析[J].临床医药文献电子杂志,2017,4(78):15275,15277.
[2]卢德芳.急诊重症肺炎并发感染性休克的临床治疗及护理措施[J].中国实用医药,2017,12(32):171-172.
[3]优丽土孜·托乎提,再努拉·阿不都艾尼.重症肺炎及感染性休克的集束治疗[J].临床医药文献电子杂志,2017,4(54):10529,10532.
[4]崔娜.急诊重症肺炎并发感染性休克的临床分析[J].临床医药文献电子杂志,2017,4(59):11485-11486.
[5]刘同英.急诊重症肺炎患者感染性休克的临床分析及干预对策[J].世界最新医学信息文摘,2016,16(92):220-221.
[6]郑淋,叶燕琴,黄晓铃.急诊重症肺炎并发感染性休克的护理体会[J].基层医学论坛,2018,22(12):1666,1674.
[7]褚庆霞.重症肺炎及感染性休克的快速治疗方案和急性用药指导[J].现代中西医结合杂志,2012,21(34):3824-3825.
[8]李永召.多巴胺联合酚妥拉明治疗急诊重症肺炎合并心力衰竭的效果分析[J].河南医学研究,2018,27(6):1046-1047.
[9]温慧兰,卢耀能,罗以娟,等. 598例感染性休克患者疾病谱分析[J].中国病案,2018,19(1):42-44.
[10]林宗钦,张欢欢,关开泮,等.影响老年重症肺炎患者死亡的危险因素分析[J].河北医学,2018,24(1):142-145.
[11]钟兵,连炳新,鲍朝海.急诊重症肺炎并发感染性休克的临床治疗及护理措施[J].中国社区医师,2016,32(25):166,168.
[12]贾秀珍,王浩.重症肺炎患者感染性休克的临床分析[J].临床医药文献电子杂志,2017,4(78):15275,15277.