42例糖尿病合并脓毒症休克的临床分析  

Clinical Analysis of 42 Cases of Diabetes with Septic Shock

作　　者：郑孝敬 陈增瑞[1] 周朝阳[1] 甘永雄 陈美霞[1] 黄锡通[1] 

机构地区：[1]浙江省玉环县人民医院ICU,浙江玉环317600

出　　处：《实用预防医学》2008年第3期838-840,共3页Practical Preventive Medicine

摘　　要：目的探讨糖尿病患者并发脓毒症休克的危险因素及防治措施。方法对本院42例糖尿病并发脓毒症休克患者进行回顾性分析。结果糖尿病合并脓毒症休克发生率与糖尿病患者年龄、血糖控制情况、糖尿病慢性并发症明显相关,部位以皮肤感染及呼吸道最多见,其次是泌尿道感染。结论血糖高、年龄大、并发症重是糖尿病患者合并脓毒症休克的重要易感因素;治疗上,在严格控制血糖、积极处理感染灶和合理使用抗生素的基础上,针对脓毒性休克病人的不同状况或不同时期,将多种方法联合起来加以应用。Objective To investigate the risk factors and management of aged diabetics with septic shock. Method The data of 42 patients with diabetes complicated septic shock were retrospectively analyzed. Results The septic shock rate was higher in older patients with severe diabetic complications and blood glucose was difficult to control. Respiratory and skin infections were most common, followed by urinary tract infection. Conclusions High blood glucose level, older age, and severe complications are important predisposing factors of septic shock in patients with diabetes. With intensive insulin blood glucose control, appropriate management of infection and using antibiotics fairly, all supportive care used in combination during different stages and specific situation of the patients are necessary.

关 键 词：糖尿病 休克 脓毒症 感染 

分 类 号：R587.1[医药卫生—内分泌]