老年人金黄色葡萄球菌性败血症与电解质紊乱的相互影响

Staphylococcus aureus Septicemia and Electrolyte Disorder in Senile Patients

目的 探讨老年人重症感染与电解质紊乱的关系。方法 回顾分析 86例老年人金黄色葡萄球菌性败血症的病情、病程、预后与血电解质的关系。结果 多器官损害组除血钾外 ,血钠、钙、氯均较单器官损害组明显降低(P <0 0 5 ) ;病程≥ 7d组 ,血钠、钙、氯均较 <7d组明显降低 (P <0 0 5 ) ;预后差组上述电解质也明显低于预后好组 (P <0 0 5 )。结论 老年人金黄色葡萄球菌性败血症病情、病程、预后与电解质密切相关 ,病情重、病程长者电解质紊乱更明显 ;电解质紊乱又加重病情 ,影响预后 ,治疗中一定要注意纠正电解质紊乱。

OBJECTIVE To study the relation between serious infection and electrolyte disorder. METHODS To analyze the patients′ condition, course of disease, prognosis and electrolyte in 86 senile patients with Staphylococcus aureus septicemia, retrospectively. RESULTS Besides the serum potassium,the serum sodium and calcium and chlorine of the group with several organs damaged were significantly lower than the group with single organ damaged(P<0 05). The serum sodium, calcium and chlorine of the group that course of disease was equal to or more than seven days were significantly lower than the group that course of disease was less seven days (P<0 05) The electrolytes of above mentioned of the group with worse prognosis were significantly lower than the group with better prognosis (P<0 05). CONCLUSIONS The patients′ condition, course of disease, prognosis and electrolyte altogether are closely related each other in senile patients with S.aureus septicemia. The electrolyte disorder of the group with serious cases or longer course of disease is more obvious. The electrolyte disorder may exacerbate patients′ condition and influence the prognosis. We should pay attention to correct the electrolyte disorder in the treatment.