低T3综合征与慢性支气管炎合并感染性休克患者预后的关系探讨

Correlation Between Prognosis of Patient with Chronic Bronchitis Complicated with Septic Shock and Low T3 Syndrome

目的前瞻性观察低T3综合征对慢性支气管炎合并感染性休克患者28d病死率的影响。方法慢性支气管炎合并感染性休克患者117例，分为低T3组57例、非低T3组60例，全部患者均给予集束化治疗，比较两组患者的28d病死率。结果28d病死率低T3组和非低T3组分别为50．9％（29／57）和30．0％（18／60），两组比较差异具有统计学意义（χ2=5．3，P〈0．02）。结论低T3综合征常见于慢性支气管炎合并感染性休克患者，可能是其预后不良的指标。

Objective To investigate the correlation between prognosis of patient with chronic bronchitis complicated with septic shock and low T3 syndrome by prospective study. Methods 117 patients with chronic bronchitis and septic shock were collected, and divided into the low T3 group（57 cases） and the none-low T3 group（60 cases）. All patients were treated with cluster method. The 28 days mortality of the two groups were compared. Results The 28 days mortality of the low T3 group（50.9%） was higher than that of the noneqow T3 group（30.0%） statistically significant（P〈0.05）. Conclusion Patients with chronic bronchitis complicated with septic shock usually had the low T3 syndrome, and it maybe an indicator of bad prognosis.