感染性休克死亡率和危险因素分析

Mortality and Risk Factors of Septic Shock

目的分析感染性休克的死亡率及其危险因素。方法回顾总结2002年1月-2005年10月110例感染性休克患者临床资料,采用单因素方差分析和多因素Logistic回归对死亡因素进行分析。结果110例感染性休克患者死亡率为67.2%,全身炎症反应综合征(SIRS)评分、器官衰竭个数是感染性休克死亡危险因素,器官衰竭个数是强危险因素(OR=55.184)。结论感染性休克病死率极高,防治器官功能衰竭是改善预后的关键。

OBJECTIVE To study the mortality and risk factors of septic shock. METHODS Totally 110 patients with septic shock were studied retrospectively. Stepwise Logistic regression analysis was performed to identify risk factors associated with septic shock. RESULTS The overall mortality of septic shock was 67. 2%. The mortality associated with the scores of systemic inflammatory response syndrome （SIRS） and failured organ number, the latter was one of the most risk factors of the mortality（OR=55. 184）. CONCLUSIONS The mortality of septic shock is very high. Protection against organ failure is very important.