脓毒症患者津液代谢临床研究

摘要

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.%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.