急腹症合并感染性休克患者的临床特点与治疗分析

目的 探讨急腹症合并感染性休克患者的临床特点及外科治疗。方法回顾性分析95例急腹症合并感染性休克患者的临床资料。结果急腹症合并感染性休克患者原发病多为急性梗阻性化脓性胆管炎（AOSC），本组病例经紧急抗休克治疗后，手术治疗72例，治愈59例（78．7％）；非手术治疗23例，治愈10例（43．4％），两组治愈率差异有统计学意义（P〈0．05）。本组95例患者病死率为27．4％（26／95），主要死亡原因为多脏器功能障碍综合征（MODS），占57．7％（15／26）。治疗中并发急性呼吸窘迫综合征（ARDS）和急性肾功能衰竭比较常见，发生率分别为35．8％（34／95）和30．5％（29／95）。结论急腹症合并感染性体克的治疗对策应首先积极抗体克治疗保持血流动力学稳定，同时选择合适的时机及时手术，注意控制感染并早期防治MODS，以上措施的综合运用可以明显提高治愈率。

The clinical features and surgical treatment of septic shock in patients with acute abdomenal disease

Objective To analyze the clinical features of surgically treated septic shock patients with acute abdomen disease.Methods There 95 septic shock patients with acute abdomen disease were retrospectively analyzed from January 2003 to December 2008.Results Most of the patients were caused by acute obstructive suppurative cholangitis(AOSC).After anti-shock treatment immediately at the time of admission, 72 cases were surgically treated and 59 cases(78.7%) were cured.Out of other 23 nonoperative cases only 10 cas...