感染性休克的临床急救体会及措施探讨

The Clinical Emergency Measures of Septic Shock

目的:探讨感染性休克的急救措施及感染性休克死亡率的影响因素。方法:本院2011年-2012年共收治54例感染性休克患者,患者入院治疗后给予充分的液体复苏,并给予血管活性药物,观察患者病死率,治疗前后血流动力学、血清乳酸及组织氧代谢的改善情况。结果:54例患者死亡7例,病死率为12.9%(7/54),治疗后血流动力学、血清乳酸及组织氧代谢的改善情况显著优于治疗前,比较差异有统计学意义(P<0.05)。结论:感染性休克的急救措施除对症治疗外,还应预防脏器功能衰竭及弥漫性血管内凝血(DIC)出现,这对于降低病死率有积极意义。

Objective：To explore the clinical emergency measures of septic shock and the Lethal factor.Method：54 cases of septic shock patients were given fluid resuscitation and vasoactive drugs in our hospital,the patient’s hemodynamic parameters,serum lactate and tissue oxygen metabolism were observed.Result：54 patients in 7 deaths,the mortality rate was 12.9%（7/54）,after treatment was significantly better than before treatment in the hemodynamic parameters,serum lactate and tissue oxygen metabolism,there were significantly differences between after treatment and before treatment （P〈0.05）.Conclusion：Treatment of septic shock should be given symptomatic treatment,prevention of organ failure and DIC,it has a positive meaning for reducing mortality.