Correlation of changes of hemodynamics to prognosis after septic shock
Pan Yong-gui
Abstract
Pan Yong-gui
Abstract
OBJECTIVE To investigate the relationship between the changes of hemodynamics and prognosis as septic shock happened.METHODS The clinical data of 71 cases with septic shock treated in our hospital from Nov.2008 to Oct.2010 were retrospectively analyzed and divided into the survival group with 37 cases and the death group with 34 cases in accordance with the prognosis of patients.The changes of hemodynamics with septic shock of the two groups were compared and analyzed.RESULTS The general information between the two groups was not significantly different(P0.05).The cardiac index(CI) for the patients of the survival group and the stroke power(LCSW,RCSW)for the left ventricular and the right ventricular were(4.8±1.1)L/(min.m2),(42.5±4.1) g·m/m2,(11.6±0.9)g·m/m2,respectively,which were significantly better than the death group(6.9±1.5)L/(min.m2),(60.3±4.7)g·m/m2,(19.2±1.2)g·m/m2.The differences between two groups were significantly different(P0.05).CONCLUSION The changes of hemodynamics of the patients with septic shock affect the prognosis.The index of hemodynamics can be used as the observation index to predict the prognosis of patients with septic shock.
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OBJECTIVE To investigate the relationship between the changes of hemodynamics and prognosis as septic shock happened.METHODS The clinical data of 71 cases with septic shock treated in our hospital from Nov.2008 to Oct.2010 were retrospectively analyzed and divided into the survival group with 37 cases and the death group with 34 cases in accordance with the prognosis of patients.The changes of hemodynamics with septic shock of the two groups were compared and analyzed.RESULTS The general information between the two groups was not significantly different(P0.05).The cardiac index(CI) for the patients of the survival group and the stroke power(LCSW,RCSW)for the left ventricular and the right ventricular were(4.8±1.1)L/(min.m2),(42.5±4.1) g·m/m2,(11.6±0.9)g·m/m2,respectively,which were significantly better than the death group(6.9±1.5)L/(min.m2),(60.3±4.7)g·m/m2,(19.2±1.2)g·m/m2.The differences between two groups were significantly different(P0.05).CONCLUSION The changes of hemodynamics of the patients with septic shock affect the prognosis.The index of hemodynamics can be used as the observation index to predict the prognosis of patients with septic shock.
Key concepts: Septic shock, Hemodynamics, Medicine, Cardiac index, Shock (circulatory), Cardiology, Internal medicine, Sepsis