중증 패혈증환자관리에서 패혈증지수의 유용성

Retrospective analysis of sepsis severity score (SSS) was performed in septic patients with SSS of more than 10 treated between May 1989 and December 1995. SSS included pulmonary, renal, coagulation, cardiovascular, hepatic, gastrointestinal, and neurologic system failure score. Sixty-six patients were grouped in this study. The average age was 57 years in survival group and 58 years in dead. The male to female ratio was 1.7: 1. The main cause of sepsis was generalized peritonitis(48%), followed by septic cholangitis and liver abscess (27%), intraabdominal abscess(17%) in descending order. The initial SSS at the time of cliagnosis of sepsis was 20. 6 in survival group and 29. 4 in dead. The average SSS after 1 week in survival group was 15.7, and only 4 patients had more than 20 after 1 week. The average SSS in the patients who survived more than 1 week among the dead group was 35, only 2 patients had less than 20 after 2 weeks. The average recovery time was 19 days in survival group. The average hospital stay was 50 days in survival group and 24 days in dead. We concluded that SSS had a predictive value for prognosis of septic patients, and patients with SSS of greater than 20 after 2 weeks needed more intensive care.