RESUMO
The possibility of objectively evaluating the severity of the clinical status of patients with surgical infection is discussed. A retrospective and prospective analysis of clinical laboratory values is carried out in 196 patients with surgical sepsis. SAPS score indicated a statistically significant difference in the state of two groups of patients (survivors and dead). Analysis of clinical laboratory data offers additional criteria, specific of surgical infection, which improved the accuracy of scoring evaluation.
Assuntos
Complicações Pós-Operatórias , Sepse/diagnóstico , Índice de Gravidade de Doença , Procedimentos Cirúrgicos Operatórios , Idoso , Humanos , Pessoa de Meia-Idade , Estudos Prospectivos , Estudos Retrospectivos , Sepse/etiologia , Sepse/mortalidadeRESUMO
The experience in treatment of 740 patients with surgical sepsis is presented. The problems of the diagnosis, pathogenesis of sepsis, clinical and laboratory features of its course, and disturbances of homeostasis are discussed. Score systems for evaluation of the severity of patients' conditions are analysed. The problems of intensive care of surgical sepsis are considered, absolute and relative components are singled out. The principles for application of antibacterial and immune therapy, restoration of protein and energy losses, infusional and transfusional therapy are discussed. The algorithm for intensive care measures is suggested.
