中国临床医学2016，Vol.23Issue(1)：90-91,2.
尿源性脓毒血症的诊治：附15例报告
Diagnosis and Treatment of Urosepsis：Fifteen Case Reports
摘要
Abstract
Objective:To summarize early diagnosis and treatment experience of urosepsis so as to guide clinical work further . Methods :The clinical data of 15 patients with urosepsis treated in EICU of Xinhua Hospital ,Shanghai Jiao Tong University School of Medicine were analyzed retrospectively .Results:Among 15 patients with urosepsis ,there were 11 cases aged over 60 (73 .33% ) ,14 female cases(93 .33% ) ,and diversified initial symptoms .The results of mid‐stream urine bacterial culture were positive in 13 cases ,of which 10 cases were E .coli (76 .92% ) ,1 case was Enterobacter cloacae (7 .69% ) ,2 cases were Enterococcus(15 .39% ) .Acute physiology and chronic health evaluation Ⅱ score was positively correlated with procalcitonin level(r=0 .728 ,P<0 .01) ,and negatively correlated with platelet level (r= -0 .717 ,P< 0 .01) .Platelet level in the surgical intervention group was significantly lower than that in drug treatment group ,and the difference was statistically significant (P<0 .05) .Conclusions :Elderly women are at high risk of urosepsis .And the initial symptom is diversified ,while Gram‐negative bacilli are the main pathogens .The condition of patients with urosepsis can be effectively assessed by procalcitonin and platelet levels .关键词
尿源性脓毒血症/降钙素原/血小板/感染Key words
U rosepsis/Procalcitonin/Platelet/Infection分类
医药卫生引用本文复制引用
路薇薇,费爱华..尿源性脓毒血症的诊治：附15例报告[J].中国临床医学,2016,23(1):90-91,2.基金项目
2013-2014年度全国临床重点专科项目 （）
