Risk factors for the development of SIRS in patients after cardiopulmonary bypass

VernacularTitle:体外循环术后发生全身性炎症反应综合征的相关危险因素分析
Author: Yan MA ; Xiangyou YU
Publication Type:Journal Article
Keywords: Extracorporeal circulation/AE; Systemic inflammatory response syndrome/CO; Risk factors
From: Journal of Chinese Physician 2011;13(5):618-620
CountryChina
Language:Chinese
Abstract: Objective To determine the risk factors for the development of systemic inflammatory response syndrome (SIRS) in the patients after cardiopulmonary bypass has been constructed. Methods Eighty three NYHAⅠor Ⅱ patients, aged 6month-66yr, weighting 7～97 kg, undergoing cardiopulmonary bypass, were enrolled in this study. SIRS score was performed during 24 h after the surgery. The patients were divided into 2 groups: SIRS group(S, SIRS score≥2) and non-SIRS group(U, SIRS score＜2). The risk factors were identified by logistic regression analysis. Results The incidence of SIRS was 83.13% . Logistic analysis indicated that arterial oxygen pressure (PaO2), retention time, and postoperative heart rate were closely related with the development of SIRS in patients on ICU after cardiopulmonary bypass (OR＝0.518,4.334,3.607,P＜0.05). Conclusions The arterial oxygen pressure (PaO2), ICU stay, and heart rate after cardiopulmonary bypass has been constructed can be served as the risk factors for the development of SIRS in patients.