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危重病患者24h内死亡相关危险因素分析
引用本文:简志刚,池锐彬,罗醒政.危重病患者24h内死亡相关危险因素分析[J].职业卫生与病伤,2011,26(3):163-165.
作者姓名:简志刚  池锐彬  罗醒政
作者单位:南方医科大学附属小榄医院重症医学科,广东,中山,528415
摘    要:目的探讨危重病患者24 h内死亡的相关危险因素。方法对南方医科大学附属小榄医院2007-01/2010-10入ICU后24 h内死亡的54例病例进行回顾性研究,运用COX比例风险模型进行单因素及多因素回归分析,确定危重病患者24 h内死亡的相关危险因素。结果本组患者死亡原因中最多的是外伤,占59.25%。单因素分析结果显示,心率,pH值,乳酸是所有患者24 h内死亡的危险因素,损伤严重程度(ISS)是外伤患者24 h内死亡的危险因素。多因素分析显示心率是所有患者24 h内死亡的独立危险因素。结论心率、pH值、乳酸等3个因素均与组织灌注有关,采用各种措施保证组织灌注可能是提高抢救成功率的关键。

关 键 词:危重病  24h  死亡率  危险因素

Risk Factors Related to Critically Ill patients' Death Within 24 Hours
JIAN Zhi-gang,CHI Rui-bin,LUO Xing-zheng.Risk Factors Related to Critically Ill patients' Death Within 24 Hours[J].Journal of Occupational Health and Damage,2011,26(3):163-165.
Authors:JIAN Zhi-gang  CHI Rui-bin  LUO Xing-zheng
Institution:JIAN Zhi-gang,CHI Rui-bin,LUO Xing-zhengXiaolan Hospital of Southern Medical University,Zhongshan 528415,Guangdong Province,China.
Abstract:Objective To investigate the risk factors related to death of critically ill patients who died within 24 hours.Methods A total of 54 patients who died within 24 hours after being admitted to the Intensive Care Unit(ICU) of Xiaolan Hospital from January,2007 to October,2010 were studied retrospectively.Univariate and multivariate analyses were carried out by using Cox proportional hazard model.Risk factors related to death of critically ill patients within 24 hours were determined.Results Death in the subjec...
Keywords:24h
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