论文部分内容阅读
目的:分析急腹症并感染性休克的临床诊治情况。方法:选取2010年1月-2013年1月收治的64例急腹症并感染性休克患者,均行细菌培养实验,对休克进行临床分级,在明确致病菌和休克程度的基础上,有针对性进行基础性治疗,1例患者采用保守方式治疗,另外63例患者同时进行手术治疗,统计并分析临床综合治疗情况。结果:本组64例患者临床成功救治率为84.4%,死亡率为15.6%;主要因MODS或呼衰发生死亡;肝脓肿并破裂患者死亡率较高,2例患者中1例发生死亡,死亡率50.0%。结论:急腹症并感染性休克患者应尽早行细菌培养实验,明确致病菌,并同时确定休克程度,以更有针对性进行基础性治疗,并在此基础上主要采用手术等方式治疗,以利于治疗效果的改善。
Objective: To analyze the clinical diagnosis and treatment of acute abdomen and septic shock. Methods: Sixty-four patients with acute abdomen sepsis and septic shock were selected from January 2010 to January 2013. Bacterial culture experiments were performed to classify the shock. Based on the identification of pathogenic bacteria and shock level, Targeted basic treatment, one patient treated conservatively, and the other 63 patients were treated simultaneously, statistics and analysis of clinical comprehensive treatment. Results: The clinical success rate was 84.4% and the mortality rate was 15.6% in 64 patients. The death rate was mainly due to MODS or respiratory failure. The mortality rate of patients with liver abscess and rupture was higher. One of 2 patients died and died Rate of 50.0%. Conclusion: Patients with acute abdomen and septic shock should conduct bacterial culture experiments as soon as possible to clarify the pathogens, at the same time determine the degree of shock, to more targeted for basic treatment, and on this basis, mainly by surgery and other means, In order to facilitate the improvement of the therapeutic effect.