小儿休克85例临床分析  

Shock were studied in 85 cases of pediatrician

作　　者：付思源[1] 连莲淑[1] 

机构地区：[1]漳州市医院儿科,363000

出　　处：《福建医药杂志》2002年第1期20-21,共2页Fujian Medical Journal

摘　　要：目的　区分复杂型与单纯型休克有助于早期诊断 ,及时、合理治疗以降低病死率。方法　本文对 1996年1月～ 2 0 0 0年 12月入院儿科危重症病房或住院期间发生休克的病例进行回顾性临床分析 ,根据是否存在与休克发生相关的慢性或多脏器功能障碍综合征 (MODS) ,将休克分为复杂型和单纯型。结果　 2 17例危重症患儿中 85例发生休克 ,休克在危重症患儿中患病率为 39.2 % ,病死率 4 3.5 %。复杂型 5 2例 ,死亡 2 9例 ,病死率 5 5 .8% ;单纯型 33例 ,死亡 8例 ,病死率 2 1.6 % ,两型相比差异显著。外因、内因和医源性混合因素引起的休克占 6 1.2 %。休克死亡的相关因素主要是 :休克 >8小时 ;脏器低灌注 >12小时 ;休克反复发生及并发多脏器功能衰竭 (MSOF)。结论　休克的发病机理与外因、内因和医源性因素有关、休克预后与多种因素有相关 。Objective The separation of complex type and simple type is necessary and helpful in proper treatment to decreasing mortality of this serious syndrome.Method All cases of shock which were admitted to pediatric ICU of our hospital during 1996 1～2000 12 were studied retrospectively in this paper.We consider that shock may be classified into two types,namely,complex and simple,tipes according to it is complicated with chronic disease or multiple organ dysfunction syndrome(MODS)or not.Result The morbidity of shock in severe diseased children is 39 2%(85/217)and the mortality of shock is 43 5%(37/85)in this group.The mortality of the former is much higher(55 8% 29/52)then that of the simple(21 6% 8/33).The mixed factors(external internal and iatric factors)caused 61 2%(52/85)of all cases of shock patients.The related factors which caused death are:1)duration of shock>8hr,2)Hypoirrigation time>12hr,3)repeated attacks of shock and 4)complicated with multiple systemic organ failure(MSOF).Conclusion The principle of shock have relation to a mixed factor(external?internal and iatric).The prognosis of complex type of shock is much worse than that of simple type.

关 键 词：休克 分类 儿科 临床分析 

分 类 号：R720.597[医药卫生—急诊医学]