医学信息Issue(13)：67-69,3.
脓毒症相关急性呼吸窘迫综合征患者患者临床特征与预后
Clinical Characteristics and Outcomes of Patients with Sepsis-induced ARDS in a China Intensive Care Unit
摘要
Abstract
Objective The aim of this study was to investigate the factors that influenced the outcomes of the patients with sepsis induced ARDS due to the failure in implementing series care bundles. Methods In this retrospective study performed in general ICU at Qilu hospital, al consecutively admit ed adult (≥18 years) patients who need invasive mechanical ventilation (MV)≥ 48 h from January, 2008 through December, 2010 were included and the patient data analyzed by trained intensivists. Results The 1268 patients enrolled, 96 patients with sepsis induced ARDS were eligible for inclusion criteria during the study period. In both group patients, delayed admission to general ICU was a common problem, ARDS mainly origined from infectious pneumonia due to multi-drug resistance pathogens, lower tidal volume and PEEP was adopted during mechanical ventilation. Compared with survivors group, non-survivor patients were elder, higher baseline disease severity scores and proportion of medical disease, lower PaO2/FiO2 and higher peak airway pressure, higher occurrence of septic shock which resulted in risen incidence of acute kidney injury, more daily fluid accumulation and higher proportion of CRRT performance. Conclusion The compliance of the implementation of critical care bundles was bad, and worsen the patients outcomes.关键词
脓毒症/急性呼吸窘迫综合征/APACHEⅡ评分/液体复苏Key words
Sepsis/Acute respiratory dysfunction syndrome (ARDS)/APACHEII/Fluid resuscitation引用本文复制引用
Kafil Uddin Abbas,Kamal Aktar,李文元,丁士芳,吴大玮,李琛,翟茜,杜斌峰,李远..脓毒症相关急性呼吸窘迫综合征患者患者临床特征与预后[J].医学信息,2014,(13):67-69,3.基金项目
本课题得到山东省自然科学基金(ZR2013HM088)资助。 （ZR2013HM088）
