科研之友
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摘要
introduction: systemic inflammatory response syndrome (sirs) is a clinical situation frequently observed in emergency room (er). its early detection and supporting measures improve prognosis of these patients. aims: to know the incidence of sirs among patients who come to er, their frequency and distribution factors and the clinical evolution at 3 and 30 days. patients and methods: observational prospective simple-blind study. during 24 hours, sirs was detected by observant doctors with an independent registry. their management was observed. patients from obste-trics and traumatology were not observed. follow-up was done using telephonic and informatical techniques at 3 and 30 day. a descriptive analysis was done. results: there were 163 patients attended in er; 25 of them with sirs (15.3%), 16 were male (65%) and 9 female (35%). by ages 8 were under 30, 4 were between 30 and 60 and 13 were over. the respiratory rate was not measured in 12 of the 25 patients with sirs (48%). an infectious etiology (sepsis) was found in 19 of those 25 (76%) patients. the most frequent criterion of sepsis was tachycardia, followed by leukocyte disorders. support of volume and antimicrobial therapy were only started at once in 21 and 42% respectively on patients with sepsis. 15 of 25 were admitted (2 in icu). after 3 days, 11 of 25 remained at hospital and after 30 days 2. conclusions: sirs is a prevalent situation in er with a high percentage of admissions. most of sirs were of infectious origin (sepsis). major attention is needed among physicians to establish a promptly diagnose and starting support measures that improve their prognosis.
