ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN KẾT QUẢ ĐIỀU TRỊ BỆNH NHÂN SỐC NHIỄM KHUẨN TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: Describe clinical, subclinical characteristics and analysis some factors relate to treatment outcome in patients with septic shock. Methods: The descriptive study cut across 47 patients in septic shock. Results: Average age of study subjects is 61,4±15,2. The highest age is 92 and the lowest one is 15. Male sex accounts for 76,6% higher rate, female only 23,4%. The majority of patients with septic shock have no fever or mild fever. High fever only accounted for 23,4%, while the proportion of patients without fever was the highest at 61.7%. Common primary sites of infection are respiratory and digestive organs, of which the respiratory tract accounts for 44,7%, and digestion is 34%. Bacterial culture results showed a positive result of only 17%. The mean blood lactate value of patients with septic shock was 6,82 ± 4,16. The majority of patients with blood lactate values > 6 mmol/l accounts for 51,1%. There was a statistically significant association with a 95% confidence between coagulation disorder, invasive mechanical ventilation and treatment outcome in patients with septic shock. Conclusion:  Older patients are at higher risk of septic shock, with higher rates of infection than women. The most common primary infection drive is the respiratory organs, with a low positive blood culture. There was a statistically significant association with a 95% confidence between coagulation disorder, invasive mechanical ventilation and treatment outcome in patients with septic shock.