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目的比较分析重症监护病房(intensive care unit,ICU)中维、汉脓毒血症患者之间临床实验检查的异同。方法对笔者医院综合ICU 2006年1月～2009年12月维、汉脓毒血症患者进行血常规、血生化、血气分析、凝血功能、病原学培养及平均急性生理和慢性健康状况Ⅱ评分。结果调查ICU维、汉脓毒血症病人100例,维、汉死亡患者血常规、生化、血气部分指标存在差异,相关因素分析显示:死亡原因与钠离子、渗透压、碱性磷酸酶相关,感染以鲍曼不动杆菌发生率最高。结论维、汉脓毒血症患者,部分病理生理指标存在差异。表明脓毒血症对机体产生的病理生理机制在维、汉脓毒血症患者中存在不同,需进一步探讨。
Objective To compare and analyze the similarities and differences of clinical laboratory tests between patients with and without sepsis in intensive care unit (ICU). Methods The blood routine, blood biochemistry, blood gas analysis, coagulation, etiology and average acute physiology and chronic health status Ⅱ score of ICU from January 2006 to December 2009 in our hospital were analyzed. Results There were 100 patients with ICU and sepsis in ICU. There were differences in blood routine, biochemistry and blood gas between the two groups. The analysis of related factors showed that the cause of death was related to sodium ion, osmotic pressure and alkaline phosphatase, Acinetobacter baumannii infection the highest incidence. Conclusions There are differences in some pathophysiological indexes in patients with Uygur and sepsis. That sepsis on the body’s pathophysiological mechanisms exist in Victoria, sepsis in patients with different needs further study.