急诊重症肺炎并发感染性休克的治疗分析

Therapeutic Analysis of Emergency Pneumonia Complicated With Septic Shock

目的分析急诊重症肺炎并发感染性休克的临床治疗效果。方法选取我院2017年11月—2018年11月收治的60例急诊重症肺炎并发感染性休克患者进行研究,所有患者均接受常规治疗,观察分析60例患者治疗的影响因素,研究60例患者的临床疗效。结果60例患者中,死亡10例,抢救成功率为83.33%。机械通气和无机械通气成功率和死亡率之间差异不具有统计学意义,P>0.05;有无消化道出血、一般或良好营养状况方面差异有统计学意义,P<0.05。多因素logistic回归分析显示,肺叶受累情况、有无消化道出血、器官受累情况、营养状况是影响患者治疗效果的重要因素。结论消化道出血率、营养状况、器官受累数量是影响急诊重症肺炎并发感染性休克的治疗效果的重要因素,根据上述因素采用针对性治疗措施可以降低死亡率。

Objective To analyze the clinical effect of emergency pneumonia complicated with septic shock.Methods A total of 60 patients with severe acute pneumonia complicated with septic shock admitted to our hospital from November 2017 to November 2018 were enrolled.All patients underwent routine treatment.The influencing factors of 60 patients were analyzed and 60 patients were studied.Clinical efficacy.Results Of the 60 patients,10 died and the success rate was 83.33%.There was no statistically significant difference between the success rate of mechanical ventilation and non-mechanical ventilation,P > 0.05.There was significant difference in the presence or absence of gastrointestinal bleeding,general or good nutritional status,P < 0.05.Multivariate logistic regression analysis showed that the involvement of the lobes,the presence or absence of gastrointestinal bleeding,organ involvement,and nutritional status were important factors influencing the patient's treatment.Conclusion Gastrointestinal bleeding rate,nutritional status,and organ involvement are important factors influencing the treatment of severe pneumonia complicated with septic shock.Targeted treatment measures can reduce mortality according to the above factors.