脓毒症患者津液代谢临床研究
Study of Deficiency and Excess Syndrome of Body Fluid Metabolism in Sepsis Patients
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摘要: 目的 探寻急诊脓毒症患者津液代谢的临床特点。方法 分析我院2009年1月-2011年10月因脓毒症住院的患者,比较虚实2组患者水液代谢临床表现。结果 虚实2组患者年龄、住院时间、死亡率、血流动力学指标接近,2组比较差异无统计学意义(P>0.05)。而呼吸机治疗率、APACHEII评分、液体出入量则有明显差异,2组比较,P<0.05。结论 脓毒症按照虚实辨证,结合津液的变化,可反映病情的进展和严重程度。Abstract: VE: OBJECTIVE To discuss clinical characteristics of body fluid of metabolism septic patients of deficiency and excess syndrome in ER. METHODS The characteristics were compared between two groups of septic patients in ER from January 2009 and October 2011. RESULTS There were no significant differences in the patient age, mortality, hemodynamic changes and the length of stay between two groups. Nevertheless, there were remarkable differences in the rate of respiratory machine, input and output of liquid and the APACHE II score. CONCLUSION The fluid collection is easy to appear in deficiency syndrome patients. The effective circulating blood volume is not enough in excess syndrome patients. Fluid therapy can achieve good outcome in excess syndrome patients, but not in deficiency syndrome patients.
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Key words:
- sepsis /
- deficiency and excess syndrome /
- body fluid metabolism
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[1] Knaus WA, Draper EA, et al. CPACHEⅡ:A severity of disease classication system[J]. Critical Care Medicine, 1985,13: 818-829. [2] Dellinger RP, Levy MM, Carlet JM, et al. Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008[J]. Intensive Care Med, 2008, 34(1):17-60. [3] 中华医学会急诊医学分会危重病专家委员会,中国中西医结合学会急救医学专业委员会.脓毒症的定义、诊断标准、中医证候诊断要点及说明(草案)[J].中华急诊医学杂志,2007, 16(8):797-798. [4] Chinese Medicine Emergency Medicine Branch of Critically Illness Expert Committee. Definition, diagnostic criteria, TCM diagnostic criteria and description of sepsis (draft)[J]. Chin J Emerg Med, 2007, 16(8):797-798. [5] 姚咏明,蒋丽娜.提高对外科危重患者毛细血管渗漏综合征的认识[J].中华实验外科杂志,2011, 28(2):169-170. [6] Yao YM, Jiang LN. Improve the understanding of surgical critically ill patient’s capillary leak syndrome[J]. Chin J Exp Surg, 2011, 28(2):169-170. [7] 张隐庵.黄帝内经素问集注[M].北京:学苑出版社,2002:128-129. [8] Zhang YA. Collective notes to The Yellow Emperor’s Inner Classic: Basic Questions[M]. Bejing: Academy press, 2002:128-129.
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