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目的探讨感染产科合并脓毒血症患者严重脓毒血症的病因结果分析。方法选取2013年4月-2014年4月在青海省妇女儿童医院院妇产科感染产科并脓毒血症的患者36例,对患者给予早期诊断及抗感染治疗,控制或清除引起感染的病原体,对病因结果进行分析。结果治疗前,严重脓毒血症患者24例,占66.67%,产褥期脓毒血症6例,占16.67%,妊娠期脓毒血症6例,占16.67%,各组比较,差异有统计学意义(χ2=8.13,P<0.05)。所有患者中,妊娠合并症12例,占33.33%,产褥和子宫内感染10例,占27.78%,泌尿道感染14例,占38.89%,各组比较,差异无统计学意义(χ2=0.15,P>0.05)。结论感染产科并脓毒血症患者的发生主要原因是由妊娠并发症所引起,严重威胁着患者及婴儿的生命安全,早期诊断可有效的降低患者的生命风险,可适时的终止妊娠,多科的合作与交流可提高母婴的生命质量。
Objective To investigate the etiology of severe sepsis in patients with obstructive pulmonary infection. Methods From April 2013 to April 2014, 36 cases of obstetric and septic patients infected with obstetrics and gynecology in Qinghai Women and Children’s Hospital were enrolled. Patients were given early diagnosis and anti-infective therapy to control or eliminate the pathogens causing infections , The etiology of the results were analyzed. Results Before treatment, 24 cases were severe sepsis, accounting for 66.67%, 6 cases were postpartum sepsis, accounting for 16.67%, 6 cases were sepsis during pregnancy, accounting for 16.67%. There were statistically significant differences among the groups Significance (χ2 = 8.13, P <0.05). In all patients, there were 12 cases of pregnancy complications (33.33%), 10 cases of puerperal and uterine infections (27.78%) and 14 cases of urinary tract infection (38.89%), with no significant difference between groups (χ2 = 0.15 , P> 0.05). Conclusion The main causes of obstructive infection in obstetric patients with sepsis are caused by pregnancy complications, which seriously threaten the life safety of patients and infants. Early diagnosis can effectively reduce the life-risk of patients and terminate the pregnancy timely. The cooperation and exchange can improve the quality of life of mothers and babies.