急诊重症肺炎患者感染性休克的临床分析及干预对策

Clinical analysis of septic shock in the emergent severe pneumonia and intervention countermeasures

目的探讨急诊重症肺炎患者感染性休克的临床特点及干预对策,为临床治疗提供参考依据。方法选取2011年4月-2012年12月医院收治的重症肺炎并发感染性休克的患者103例,对其临床资料进行回顾性分析,分析影响抢救成功率的因素及干预对策,采用SPSS13.0软件进行统计分析。结果高龄、男性、器官和肺叶受累≥3个、合并有COPD和消化道出血者以及营养状况较差患者病死率明显高于其他患者(P<0.05);实施循证护理降低了病死率。结论临床中多种因素可以对急诊重症肺炎并发感染性休克患者的抢救成功率造成影响,加强对患者的病情观察,及时采取措施改善患者的休克状态,可以有效提高抢救成功率、缩短住院时间。

OBJECTIVE To investigate the clinical features of septic shock in patients with emergent severe pneumo‐nia and intervention countermeasures and provide reference for clinical treatment .METHODS Totally 103 patients with severe pneumonia complicated by septic shock in our hospital during Apr .2011 -Dec .2012 were selected , the clinical data were retrospectively analyzed and the factors affecting the rescue success rate and the intervention countermeasures were analyzed .The SPSS13 .0 software was used for statistical analysis .RESULTS Patients who had advanced age ,gender of male ,organs and lung involvement ≥ 3 ,combination with COPD and gastrointestinal bleeding and those with poor nutritional status had higher mortality than other patients （P〈0 .05） .The imple‐mentation of evidence -based nursing reduced mortality .CONCLUSION Many clinical factors can impact the res‐cue success rate of patients with emergent severe pneumonia complicated by septic shock .Strengthening the obser‐vation of the patient＇s condition and taking timely measures to improve the patient＇s state of shock can effectively improve the success rate and shorten hospital stay .