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目的探讨新生儿败血症死亡的相关因素。方法回顾性分析商丘市中医院新生儿重症监护室2005年1月至2010年12月收治的106例诊断为新生儿败血症病例的临床资料。比较存活和死亡患儿的临床特点并进行单因素χ2检验。结果 106例患儿中,存活94例,死亡12例,总病死率11.3%;并应用统计学方法对胎龄等6项因素对本病死亡的影响做出分析,结果显示,胎龄、入院体质量、凝血功能、休克并多脏器损害、白细胞计数对本病死亡有显著影响。结论凝血功能、休克并多脏器损害等5项因素与新生儿败血症死亡显著相关。
Objective To explore the related factors of neonatal sepsis death. Methods The clinical data of 106 cases diagnosed as neonatal sepsis were retrospectively analyzed from January 2004 to December 2010 in Shangqiu Chinese Medicine Hospital neonatal intensive care unit. The clinical features of children surviving and died were compared and the single factor χ2 test was performed. Results Among the 106 children, 94 survived, 12 died, and the total case fatality rate was 11.3%. Statistical analysis was conducted on the impact of 6 factors such as gestational age on the death of this disease. The results showed that gestational age, admission Body mass, coagulation, shock and multiple organ damage, white blood cell count has a significant impact on the death of the disease. Conclusions Five factors, coagulation function, shock and multiple organ damage, are significantly associated with the death of neonatal sepsis.