ICU因外科手术后脓毒症死亡患者的临床特征分析  

The Clinical Characteristics Analysis of Deaths of Post-operative Sepsis in ICU

作　　者：翁以炳[1] 段美丽[1] 董磊[1] 

机构地区：[1]首都医科大学附属北京友谊医院重症医学科,北京100050

出　　处：《医学综述》2013年第12期2295-2297,共3页Medical Recapitulate

摘　　要：目的分析ICU外科手术后脓毒症死亡患者的临床特征。方法回顾性分析2007年7月至2012年7月首都医科大学附属北京友谊医院ICU诊治的91例因外科术后伴脓毒症死亡患者的临床资料。结果本组同期收治外科来源患者1 625例,其中术后因脓毒症死亡91例,病死率达5.6%。从受累及的系统、器官来分析,普外科:受累主要在肺脏、肾脏、消化、循环和凝血系统;胸外科:肺脏的问题明显突出;泌尿科:主要出现肾脏、肺脏、循环和凝血系统的问题;妇产科:出现肺脏、肾脏、循环和凝血系统的问题;血管科和骨科:出现心脏、肾脏、循环和凝血系统的例次相对较多。结论外科术后脓毒症患者的高病死率应该引起临床医师的重视,并采取积极措施进行救治。Objective To analyze the clinical characteristics of patients who died of post-operative sep-sis in ICU. Methods Retrospective analysis of clinical data of 91 cases who died of post-operative sepsis in ICU of Beijing Friendship Hospital Affiliated to Capital Medical University from 2007 to 2012 was done. Results Ninety-one cases died from post-operative sepsis among 1 625 cases received from the surgery department during the same period,which made a mortality rate of 5.6%. Analysis from the affected organ and system, department of general surgery ： the major affected were lung, kidney, digestive, eireulation and coagulation system;department of thoracic surgery：lung problems was highlighted; department of urology： mainly the kidney, lung, circulation and coagulation system ; department of obstetrics and gynecology ： lung, kidney, circulation and coagulation system problems ; vascular and orthopedics department ： heart, kidney, cir-culation and blood coagulation system cases were more. Conclusion The high mortality induced by post-op-erative sepsis should be concerned by the clinicians to deliver active treatment.

关 键 词：外科术后 脓毒症 死因 

分 类 号：R631[医药卫生—外科学]