儿科重症监护病房肺炎伴全身炎症反应综合征的临床分析

The Clinical Analysis of Pneumonia With Systemic Inflammatory Response Syndrome in Pediatric Intensive Care Unit

目的探讨分析儿科重症监护病房肺炎伴全身炎症反应综合征的临床特点及与器官功能衰竭和小儿病例评分的关联。方法选取我院2014年1月~2015年2月的重症监护病房肺炎患儿200例,通过各种诊断标准,分析重症监护病房肺炎患儿伴有全身炎症反应综合征与器官功能衰竭的情况和小儿病例评分的关联。结果 200例重症监护病房肺炎患儿中有143例患者伴有全身炎症反应综合征,占71.5%,有57例患者不伴有全身炎症反应综合征,占28.5%。通过我院研究,伴有全身炎症反应综合征的重症监护病房肺炎患儿较不伴全身炎症反应综合征的重症监护病房肺炎患儿发生器官衰竭和小儿病例评分降低的情况严重,差异具有统计学意义（P〈0.05）.结论伴有全身炎症反应综合征是重症监护病房肺炎患儿较常见的病症,可严重导致患儿的器官衰竭和小儿病例评分下降,因此,对于重症监护病房肺炎患儿应用全身炎症反应综合征的诊断标准,可以判断患儿的危病程度。

Objective To investigate the clinical characteristics of pediatric intensive care unit with pneumonia and systemic inflammatory response syndrome,and the relationship between organ failure and pediatric patients score.Methods 200 cases were selected from January 2014 to February 2015 in our hospital in children.Through a variety of diagnostic criteria, to analyzed the situation of children in ICU pneumonia associated with systemic inflammatory response syndrome and organ failure and pediatric ilness scoring association.Results200 cases of children with pneumonia in intensive care units ,143 patients with systemic inflammatory response syndrome, accounting for 71.5%, 57 patients were not associated with systemic inflammatory response syndrome, accounting for 28.5%; through our hospital research, children ICU intensive care unit with pneumonia associated with systemic inflammatory response syndrome was more associated with pediatric organ failure and incidence rates decreased more, the difference was statisticaly significant（P〈 0.05）. Conclusion The systemic inflammatory response syndrome associated with ICU pneumonia in children is more common disorders.It can cause severe organ failure in children and pediatric patients score decreased, therefore, for ICU pneumonia in children with systemic inflammatory response syndrome apply diagnostic criteria, can determine the extent of disease risk in children.