摘要
Abstract
Objective To evaluate the value of pneumonia accompanying sepsis in evaluating patients condition by monitoring inflammatory factors,pathogen and prognosis. Methods A total of 73 children with pneumonia were divided into two groups : sepsis group and non - sepsis group . CRP,blood glucose,lactic acid,creatine kinase and other factors, sputum bacterial culture and blood bacterial culture were evaluated in all the children. All the children were given antibiotics, expectant treatment and support treatment. Observe the condition of organ function. Results (1) In non-sepsis group, the incidence rate of organ dysfunction was 15.4%, and no patient died. But in sepsis group, the incidence rate of organ dysfunction was 38.2%,and there were 4 MODS cases and 1ARDS case. Besides,5 patients died in this group. The differences between two groups were significant (P < 0.05). (2) In non-sepsis group, 23.08% of cases were with increased CRP,25.64% with increased blood lactic acid and 7.69% with increased blood glucose. In sepsis group, there was 85.29% with increased CRP,73.53% with increased blood lactic acid and 58.82% with increased blood glucose. The differences between two groups were significant (P < 0.01). (3) In non-sepsis group, bacterium culture of all cases were negative. In sepsis group, there were 15 cases with positive bacterial culture in which 12 cases were sputum bacterial culture ( 1 case died) and 3 cases were blood bacterial culture(2 cases died). Conclusion Cases of pneumonia accompanying sepsis have worse prognosis. It suggests that pneumonia accompanying sepsis could be an important evidence in evaluating patients' condition and prognosis.关键词
肺炎/脓毒症/多脏器功能衰竭/预后Key words
pneumonia/sepsis/multiple organ dysfunction syndrome/prognosis分类
医药卫生
