急腹症合并感染性休克诊治分析

目的:探讨急腹症合并感染性休克的诊治方法,降低病死率。方法:回顾分析我院2004年1月至2006年12月收治的96例急腹症合并感染性休克患者的临床资料。结果:急腹症的原发病多为急性梗阻性化脓性胆管炎、绞窄性肠梗阻、胃十二指肠溃疡穿孔。手术治疗87例,手术治愈率93.1%(81/87),非手术治疗9例,均死亡。本组共死亡15例,病死率为15.6%。死亡的主要原因是多脏器功能障碍综合征(MODS),共12例,占80%。结论:外科急腹症合并感染性休克,首先应抗休克治疗,选择合适的手术时机及时手术,控制感染,早期防治MODS,是抢救成功的重要环节。

Analysis of Diagnosis and Therapy of Acute Abdominal Pains Combined Infectiousness Shock

Objetive Discuss diagnosis method of acute abdominal pains merge infectiousness shock . Eliminates the low case fatality rate. Methods The review analyzes my courtyard from January 2004 to December 2006 96 example acute abdominal pains and the infectious shock patient's clinical material which admits. Results Abdomen disease plain morbidity is impatient urgently much block nature purulence the nature bile duct is scorching, the skein of narrow ileus, gastroduodenal ulcer bore a hole . Operation cures 87 examples ,operation curative ratios 93.1 %(81/87), is not that operation cures 9 examples, die without exception. This group dies together 15 examples, case fatality rates are 15.6%. Conclusion The surgery emergency abdomen disease combines septic shock should resist first shock treat, MODS choosing right timely operational opportunity to operate, controlling infection , early phase prevention and cure, is to rescue the successful important link.