急诊创伤后感染并发脓毒血症患者病原体调查分析  

Investigation and analysis of pathogens in patients with post-traumatic infection complicated with sepsis in our hospital

作　　者：张晶晶[1] 许德孝[1] 叶安[1] ZHANG Jing-jing;XU De-xiao;YE An(Quzhou People's Hospital,Quzhou,Zhejiang 324000,China)

机构地区：[1]衢州市人民医院,浙江衢州324000

出　　处：《中国卫生检验杂志》2020年第14期1768-1770,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的分析本院急诊创伤后感染并发脓毒血症患者病原体分布情况。方法回顾性分析2017年11月-2018年11月在本院急诊科就诊的急诊创伤患者105例,其中并发脓毒血症的35例,分析患者临床特点和病原体分布特点,采用Logistic回归分析患者并发脓毒血症的危险因素。结果脓毒血症患者多发伤发病率(64.3%)、开放伤发病率(74.3%)、交通伤发病率(45.7%)、腹部损伤发病率(37.1%)、SOFA评分(8.2分±1.7分)均明显高于非脓毒血症患者(P<0.05)。脓毒血症患者血液感染占26.8%,以流血嗜血杆菌最多,占31.7%。血液感染、流血嗜血杆菌感染、多发伤、开放伤是脓毒血症的危险因素(P<0.05)。结论急诊创伤后感染的患者并发脓毒血症以流血嗜血杆菌为主,多发伤、开放伤、血流感染是患者脓毒血症的危险因素。Objective To analyze the distribution of pathogens in patients with post-traumatic infection complicated with sepsis in our hospital.Methods A retrospective analysis was carried out on 105 emergency trauma patients in our hospital from November 2017 to November 2018.Among them,35 patients were combined with sepsis.The clinical characteristics and pathogen distribution were analyzed.The risk factors of sepsis were analyzed by Logistic regression analysis.Results The incidence of multiple injuries in sepsis patients was 64.3%,open injuries 74.3%,traffic injuries 45.7%,abdominal injuries 37.1%,and SOFA score was(8.2±1.7),which were higher than those in non-sepsis patients(P<0.05).Blood infections in sepsis patients accounted for 26.8%,and Haemophilus hemorrhagicus accounted for 31.7%.Blood infections,Haemophilus hemorrhagicum infection,multiple injuries,and open injuries were risk factors for sepsis(P<0.05).Conclusion Haemophilus haemorrhoeae is the main pathogen of sepsis in patients with post-traumatic infection.Multiple trauma,open injury and bloodstream infection are the risk factors of sepsis.

关 键 词：创伤后感染 脓毒血症 病原体 

分 类 号：R446.5[医药卫生—诊断学]