全身炎症反应综合征对蛛网膜下腔出血预后的影响

目的了解蛛网膜下腔出血(SAH)时全身炎症反应综合征(SIRS)的发生及其对预后的影响.方法将113例SAH患者按诊断标准的项数分为A、B、C三组,经Hunt和Hess临床评分后,观察各组多脏器功能障碍综合征(MODS)的患病率和死亡率.结果随SIRS诊断标准的项数增多,SAH患者Hunt和Hess临床分级越高(P＜0.05),MODS发生率和病死率越高(P＜0.001、P＜0.05).结论SIRS可用于对SAH患者病情轻重和预后的判断.

Systemic inflammatory response syndrome and subarachnoid hemorraghe

Objective: To determine whether systemic inflammatory response syndrome(SIRS) was associated with outcome in patients with subarachnoid hemorraghe(SAH). Methods: 113 patients were divided into 3 groups according to the number of positive SIRS criteria. Then observed the occurrence of multiple organ dysfunction syndrome(MODS), and the rate of mortality. Results: In patients of SAH, SIRS was highly related to poor clinical grade(Hunt and Hess clinical Grading scale). The more number of positive SIRS criteria, the more occurrence of multiple organ dysfunction syndrome. Conclusion: In SAH patients SIRA on admission reflected the extent of tissue damage at onset and Predicted a poor outcome