ICU老年脓毒症60例临床分析  

Clinical Analysis of 60 Elderly Patients with Sepsis

作　　者：叶小玲[1] 尹海燕[1] 邓哲彤[1] 张敏[1] 晋金兰[1] 张锐[1] 江颖仪[1] 冯志顺[1] 

机构地区：[1]暨南大学附属第四医院广州市红十字会医院中心ICU,510220

出　　处：《岭南急诊医学杂志》2010年第4期259-260,共2页Lingnan Journal of Emergency Medicine

基　　金：广东省科技厅科技计划项目(2008B030301013)

摘　　要：目的:分析老年脓毒症患者的临床特点及与预后的关系。方法:将脓毒症患者60例根据预后分为死亡组与存活组,比较两组患者的年龄、临床症状、实验室检查、急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)及镇静药物用量等指标。结果:死亡组与存活组比较,呼吸频率、平均动脉压、中性粒细胞比例、血清前蛋白浓度、氧合指数、APACHE Ⅱ、气道峰压及镇静药物用量等均有统计学意义(P<0.05)。结论:老年脓毒症患者预后与患者脓毒症严重程度、营养状况等因素有关。Objective：To study the clinical characteristics and prognosis of elderly patient with sepsis. Methods： 60 patients with sepsis were divided into alive group and dead group according to prognosis. The age, manifestation, laboratory examination, APACHE Ⅱ and amount of sedatives were compared between the two groups. Results ： Compared with alive group,there were significant differences in respiratory rate, mean artery pressure, neutrocyte, prealbumin, oxygenation index, APACHE Ⅱ , pressure airway and the amount of midazolam used in the dead group （all P〈0.05）. Conclusion：The prognosis of elderly patients with sepsis are related the degree of sepsis and state of nutrition.

关 键 词：脓毒症 预后 老年 

分 类 号：R459.7[医药卫生—急诊医学]