摘要
目的对急腹症合并感染性休克死亡患者的死亡相关因素进行研究分析,为临床早期诊断和治疗提供参考依据。方法选取2012年9月—2013年9月我院收治的54例急腹症合并感染性休克患者作为研究对象,对患者死亡原因进行Logistic回归分析。结果通过Logistic回归分析,患者的年龄超过65岁,白蛋白水平低于30 g/L,降钙素原水平超过0.5 ng/ml,器官衰竭超过2个为患者死亡的独立因素。进行Logistic单因素,患者的年龄、白蛋白水平(首诊)、降钙素原水平(首诊)、器官衰竭个数(个)、是否存在全身炎症反应综合征和患者的死亡为正相关性。结论急腹症合并感染性休克患者尽早接受干预能够降低患者的死亡率,提升治疗效果。
Objective To study the related factors of death in patients with acute abdomen complicated with septic shock and to provide reference for early diagnosis and treatment. Methods 54 cases of acute abdomen complicated with septic shock in our hospital from September 2012 to September 2013 were enrolled in the study, the cause of death was analyzed by Logistic regression. Results By Logistic regression analysis, the patient aged over 65 years old, albumin levels below 30 g/L, calcitonin levels exceeding 0.5 ng/ml, more than 2 failed organs were independent factors for patient mortality. According to the single factor Logistic analysis, the patient＇s age, albumin level（first visit）, procalcitonin（first visit）,the number of failed organs（n）, the existence of systemic inflammatory response syndrome were positively correlated with death. Conclusion Early intervention in patients with acute abdomen complicated with septic shock can reduce the mortality and improve the therapeutic effect.
出处
《中国继续医学教育》
2017年第13期104-105,共2页
China Continuing Medical Education
关键词
急腹症
感染性休克
危险因素
回归分析
acute abdomen
septic shock
risk factors
regression analysis
