Sepsisul în infecţiile supurativ-necrotice ale ţesuturilor moi

Hotineanu Vladimir; Balica Ion; Bogdan Valeriu; Iliadi Alexandru; Salaur Sergiu; Trinca Gheorghe; Rusu Ovidiu

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1095

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2023-11-29 19:06

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HOTINEANU, Vladimir, BALICA, Ion, BOGDAN, Valeriu, ILIADI, Alexandru, SALAUR, Sergiu, TRINCA, Gheorghe, RUSU, Ovidiu. Sepsisul în infecţiile supurativ-necrotice ale ţesuturilor moi. In: Arta Medica , 2006, nr. 2(17), pp. 3-8. ISSN 1810-1852.

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Arta Medica

Numărul 2(17) / 2006 / ISSN 1810-1852 /ISSNe 1810-1879

Sepsisul în infecţiile supurativ-necrotice ale ţesuturilor moi

Pag. 3-8

Hotineanu Vladimir, Balica Ion, Bogdan Valeriu, Iliadi Alexandru, Salaur Sergiu, Trinca Gheorghe, Rusu Ovidiu

Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“

Disponibil în IBN: 17 decembrie 2013

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Analiza retrospectivă a cazurilor de afecţiuni purulente şi necrotice ale ţesuturilor moi, tratate în Secţia Reanimare Septică a SCR, pe parcursul anilor 1995-2005, a stabilit că la 62,5% dintre pacienţi au evoluat în formă de sepsis sever, conform criteriilor de Consens Internaţional, inclusiv la 20% s-a dezvoltat şoc septic. Caracteristicile clinico-morfologice principale ale acestei variante de sepsis sunt: frecvenţa bacteremiei (preponderent stafilococice), afectarea de natură toxico-metastatică a organelor parenchimatoase (în special a plămînilor), dereglarea gravă a metabolismului cu creşterea indicilor severităţii septice (SIRS, MODS, APACHE II, SAPS II, ILI). Mortalitatea generală în grupul de studiu a fost de 19,5%, pe când la cei cu sepsis sever de 31,25%.

This retrospective analysis of cases of purulent–necrotic soft tissue infections, treated during 1995-2005 in the intensive care department of the Clinical republican Hospital of Moldova established that 62,5% of cases were severe sepsis (including 20% patients with septic shock) according to International Consensus criteria. In this type of sepsis we observed frequent bacteremia (mainly staphylococcal), toxico-metastatic distant parenchimatous injury (especially pulmonary), metabolic disorders with high value of severity scores (SIRS, MODS, APACHE II, SAPS II, ILI). General mortality was 19,5%, but in group with severe sepsis fatality rate was 31,25%.

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