论文部分内容阅读
目的:探讨急性传染病休克患者的诊治策略,提高救治成功率。方法:回顾分析急性传染病休克患者的人口学、流行病学、病因分类、传染病发生至休克出现时间、早期临床诊治与转归等情况,总结诊治经验。结果:本组68例急性传染病休克主要来自呼吸道、消化道传染病,细菌和病毒是休克发生的主要病原,分别占54.4%和30.9%,仅25%的病例病前有明确的传染病接触史。51.9%的患者存在误诊误治现象。在明确休克发生病理机制的前提下,早期快速有效的抗休克、抗感染治疗,短期使用糖皮质激素,积极纠正酸碱、电解质紊乱,并给予必要的对症支持治疗,治愈出院率92.6%,平均康复住院时间3～11天,平均(5.8±2.4)天。结论:急性传染病休克早期误诊现象突出;给予积极抗休克、抗感染、激素治疗,纠正酸碱和电解质紊乱,结合对症支持治疗,可在短期内治愈患者。
Objective: To investigate the diagnosis and treatment strategies for patients with acute infectious shock and improve the success rate of treatment. Methods: A retrospective analysis of the demographic, epidemiological, etiological classification of patients with acute infectious disease, the occurrence of shock to the onset of shock, early clinical diagnosis and treatment and prognosis, summarize the experience of diagnosis and treatment. Results: The group of 68 cases of acute infectious disease shock mainly from respiratory tract, digestive tract diseases, bacteria and viruses are the main pathogens of shock, accounting for 54.4% and 30.9%, only 25% of cases before the disease has a clear infectious disease exposure history. 51.9% patients misdiagnosis and mistreatment. In a clear pathological mechanism of shock under the premise of the early rapid and effective anti-shock, anti-infective treatment, short-term use of glucocorticoid, and actively correct the acid-base, electrolyte disorders, and to give the necessary supportive symptomatic treatment, cured discharge rate of 92.6% Rehabilitation hospitalization time 3 to 11 days, an average of (5.8 ± 2.4) days. Conclusions: The early misdiagnosis of acute infectious disease is prominent. Positive anti-shock, anti-infective, hormone therapy, correct acid-base and electrolyte disorders, combined with symptomatic and supportive treatment, can cure patients in a short period of time.