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| A investigation about the risk factors for sepsis with acute gastrointestinal injury(AGI) |
| XIAO Wu - qiang, HE Zai - ming, DANG Zong - yan, SU Li - jie |
| Darpartment of Emergency Medicine, Shanghai Liqun Hospital, Shanghai 200331, China |
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Abstract Objective To explore the risk factors for sepsis with acute gastrointestinal injury (AGI). Method Retrospectively analyzed 100 patients with sepsis ( with or without AGI) who were hospitalized in EICU of Shanghai Tongji hospital and Shanghai Liqun Hospital. The causes of sepsis, clinical characteristics, risk factors for AGI were analyzed. Results There were 100 patients with sepsis, the age was(77. 4 ± 14. 4) y, the males was 55 (55. 0% ), the female was 45 (45. 0% ). 2 patients died in 72 hours. The proportion of grade Ⅰ、 Ⅱ、 Ⅲ、 Ⅳ of AGI was: 52. 8% ,30. 2% , 13. 2% ,3. 8% . The proportion of gastrointestinal failure( AGI of gradeⅢ、Ⅳ) was 17. 0% . Therewas no significant diffidence about age, gender between AGI group and No - AGI group( P > 0. 05). The hospital stay of AGI group was longer than No - AGI group(P < 0. 05). The proportion of MODS and APACHEⅡscores of AGI group was more than No - AGI group( P < 0. 05). Therewas no significant diffidence about blood biochemical indicators( the hepatorenal function and the serous level of cTnI and lactate) between AGI group and No - AGI group(P > 0. 05). There was significant diffidence about WBC count, the level of PCT between AGI group and No - AGI group( P < 0. 05). According to Logistic analysis, heart failure and low blood pressure were risk factors for sepsis with AGI. Conclusion The incidence of AGI among patients with sepsis was high. Heart failure and low blood pressure were risk factors for sepsis with AGI.
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Received: 25 August 2015
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Corresponding Authors:
SU Li - jie,E - mail: sulijie12345678@ 163. com
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Address: 1 North 2nd Street,
Zhongguancun, 
