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2001, Número 6

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Med Crit 2001; 15 (6)


El continuum séptico: Comportamiento de indicadores inflamatorios

Sánchez VLD, Gutiérrez RM, Reyes SME, González AVM, D’Ector LDM

Idioma: Español
Referencias bibliográficas: 24
Paginas: 203-207
Archivo PDF: 79.79 Kb.


RESUMEN

Objetivo: Encontrar marcadores inflamatorios para aumentar la sensibilidad del continuum séptico. Diseño: Estudio prospectivo durante un periodo de 15 meses. Lugar: UCI polivalente de un hospital privado de la ciudad de México. Pacientes: Un total de 136 pacientes (edad media de 59.5 ± 15.9 años) fueron incluidos. Intervenciones: Ninguna. Mediciones y principales resultados: Se registraron diariamente los siguientes datos: criterios de SIRS, sepsis, sepsis severa, choque séptico, balance ácido-base, ingreso de líquidos, balance de líquidos, cuenta de linfocitos y monocitos, velocidad de sedimentación, proteína C-reactiva, fibrinógeno y escalas de APACHE II, Bruselas y TISS-28. Se encontró: SIRS (n = 117), sepsis (n = 39), sepsis severa (n = 29), y choque séptico (n= 9). Las variables significantes fueron linfocitos (p ‹ 0.005), ingreso de líquidos (p ‹ 0.001), y las escalas de TISS-28 (p ‹ 0.001) y Bruselas (p ‹ 0.001). Conclusión: Los marcadores inflamatorios son útiles para evaluar la evolución de la sepsis en los pacientes críticos.


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