598例感染性休克患者疾病谱分析

Analysis on the Disease Spectrum of 598 Cases of Patients with Septic Shock

目的了解感染性休克患者疾病谱的变化特点,为医院管理和临床治疗提供基础资料和依据。方法利用广东省病案统计管理系统,对2012年-2016年出院患者中598例患有感染性休克疾病的病案进行回顾性研究,并整理数据进行统计分析。结果在598例感染性休克患者中,分析原发疾病为肺部感染、重症肺炎、泌尿道感染、其他肺炎及慢性阻塞性肺疾病急性加重列为前5位,在全部病例中,死亡人数为173例,占感染性休克人数的28.93%,占全院总死亡人数8.4%。结论呼吸系统疾病引起的感染性休克发生率和死亡率较高,医护人员要重视并尽量避免感染性休克的发生,以降低病死率。

Objectives To understand the change characteristics of disease spectrum in patients with septic shock, and provide basic data and basis for hospital management and clinical treatment. Methods A retrospective analysis was conducted on the medical records of 598 cases of patients with septic shock disease who were discharged from the hospital from 2012 to 2016 with the application of medical records statistical management system in Guangdong province, and also made statistical analysis and data collection. Results In 598 cases of patients with septic shock disease, the top five original diseases were pulmonary infection, severe pneu,nonia, urinary tract infection, pneumonia and acute exacerbation of chronic obstructive pulmonary disease. In all cases, the death number was 173 cases, which accounted for 28.93% of the number of septic shock, and 8.4% of the total death number. Conclusions The incidence and mortality of septic shock caused by respiratory diseases were high, the medical staff should pay attention to and avoid the occurrence of septic shock, so as to reduce the hospital mortality.