Đặc điểm lâm sàng và kết quả điều trị bệnh nhân sốc nhiễm khuẩn trong 6h đầu tại khoa cấp cứu bệnh viện trung ương Thái Nguyên

The study describes the clinical and subclinical characteristics of septic shock in the first 6 hours and evaluates the results of septic shock treatment. The study subjects included 36 septic shock patients, using a cross-sectional descriptive study method. The results show that the proportion of septic shock patients is more male (61.1%) than female; the average age is 64.5±16.04 years old, the lowest age is 23 years old, the highest age is 97 years old. Primary infection from the respiratory tract is the most common, accounting for 41.67%. Most of the patients with septic shock were hospitalized late when their condition had progressed more than 24 hours, accounting for 55.6%. Patients coming to the hospital awake and alert, slow exposure accounted for 74.8%; the remaining consciousness disorder at the level of glassgow score is very low, there are 3 patients comatose. Most patients have a high fever; There were 02 cases of hypothermia; dyspnea accounted for 86.1%; tachycardia > 90 beats/min in most patients (94.4%); Skin with purple veins accounted for 52.8%, the average SOFA score of the study was 11.2. The number of patients who achieved the treatment goal to keep the mean BP ≥65 mmHg accounted for 91.7% after 6 hours.