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目的:分析小儿血流感染致多器官功能衰竭的临床治疗。方法:以治疗的血流感染致多器官功能衰竭的42例患儿作为研究对象;进行抗感染治疗、抗呼吸衰竭治疗、抗肝肾衰竭治疗、DIC治疗以及支持疗法。分析治疗后致病菌清除率,研究治疗效果。结果:42例患者治疗有效率为90.5%。绿脓杆菌和表皮葡萄球菌清除率为100%,而大肠艾希氏杆菌清除率为80%,金黄色葡萄球菌清除率为66.7%,与治疗之前对比差异显著(p<0.05)。结论:在治疗小儿血流感染致多器官功能衰竭治疗中,要考虑各种致病菌,除了给予抗感染治疗外,防止持续性器官衰竭、恢复器官功能是治疗关键。
Objective: To analyze the clinical treatment of multiple organ failure caused by pediatric bloodstream infection. METHODS: Forty-two children with multiple organ failure who were treated for bloodstream infection were studied as anti-infective, anti-respiratory failure, anti-liver and kidney failure, DIC, and supportive care. Analysis of pathogenic bacteria clearance rate after treatment to study the treatment effect. Results: The effective rate of treatment in 42 patients was 90.5%. Pseudomonas aeruginosa and Staphylococcus epidermidis clearance rate was 100%, Escherichia coli Escherichia coli clearance rate was 80%, Staphylococcus aureus clearance rate was 66.7%, compared with the treatment before the significant difference (p <0.05). Conclusion: In treating multiple organ failure caused by pediatric bloodstream infection, various pathogenic bacteria should be considered. In addition to giving anti-infective therapy, it is the key to treatment to prevent persistent organ failure and restore organ function.