| 120例严重感染患者死亡危险因素分析 |
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| 引用本文： | 李元贵,马希刚.120例严重感染患者死亡危险因素分析[J].宁夏医科大学学报,2011(4):356-359. |
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| 作者姓名： | 李元贵 马希刚 |
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| 作者单位： | 宁夏医科大学;宁夏医科大学附属医院ICU; |
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| 摘 要： | 目的调查严重感染患者的病死率和病死危险因素。方法回顾性调查宁夏医科大学附属医院重症医学科（ICU）2005年1月-2009年12月5年期间收治的120例严重感染患者。记录患者的一般情况与临床资料等,对上述资料进行单因素分析,选择有意义的变量（P〈0.05）进行多因素非条件Logistic回归分析,分析严重感染患者病死危险因素。结果 2005-2009年间,宁夏医科大学附属医院重症医学科的严重感染总发生率为8.2%（120/1463）,总病死率为70.0%（84/120）。单因素分析结果显示：老龄、总住院时间、A-PACHEⅡ评分、SOFA评分、慢性疾病史、低白蛋白（〈35g.L-1）、碱剩余（BE）、接受机械通气、深静脉置管等有创检查治疗和合并衰竭器官数目与病死率有关。Logistic回归分析显示：老龄、APACHEⅡ评分和合并功能衰竭的器官数目是影响严重感染病死率的独立危险因素。结论严重感染患者的病死率高,伴有老龄、初始APACHEⅡ评分≥20分和合并器官功能衰竭的严重感染患者死亡的风险较高。
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| 关 键 词： | 严重感染 病死率 危险因素 logistic模型 |
Risk Factors of Death in 120 Patients with Severe Sepsis |
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| LI Yuan-gui,MA Xi-gang.Risk Factors of Death in 120 Patients with Severe Sepsis[J].Journal of Ningxia Medical College,2011(4):356-359. |
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| Authors: | LI Yuan-gui MA Xi-gang |
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| Institution: | LI Yuan-gui1,MA Xi-gang2(1.Ningxia Med.Univ.,Yinchuan 750004,2.Dept.of Intensive Care Unit,the Affiliated Hospital of Ningxia Med.Univ.,Yinchuan,750004) |
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| Abstract: | Objective To investigate the fatality and risk factors in critically ill patients with severe sepsis.Methods The data of 120 patients with severe sepsis were reviewed retrospectively.These patients received treatment in ICU of Ningxia Medical University Hospital from January 2005 to December 2009.Patients' general condition and clinical information were recorded.Simple logistic regression was taken to analyze all the risk factors,and statistically significant variables were selected and used in multivariate... |
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| Keywords: | severe sepsis mortality risk factors logistic models |
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