Mironov P I
Khirurgiia (Mosk). 2004(6):39-41.
Results of treatment of 263 children with surgical sepsis aged from 3 to 14 years were analyzed. Diagnosis of sepsis was based on recommendations of ACCP/SCCM (1991). For diagnosis of sepsis in children it is recommended to use criteria of syndrome of systemic inflammatory response (SSIR) in M.Parker's modification, scale of assessment of severity state - PRISM, classification of organ insufficiency by L. Doughty et al. Diagnosis of sepsis may be regarded as timely when 3 and more symptoms of SSIR persist in a child with pyoinflammatory disease during 24 hours of intensive care and in PRISM scale severity corresponding to experted lethality > or = 1,0%. When syndromes of multiorgan insufficiency are revealed, diagnosis of sepsis must be regarded as delayed.
分析了263例年龄在3至14岁的外科脓毒症患儿的治疗结果。脓毒症的诊断依据美国胸科医师学会/危重病医学会（1991年）的建议。对于儿童脓毒症的诊断，建议采用M.帕克改良版的全身炎症反应综合征（SSIR）标准、严重程度评估量表 - PRISM、L.道蒂等人的器官功能不全分类法。当患有脓性炎症疾病的儿童在重症监护24小时期间持续出现3种及以上SSIR症状，且PRISM量表严重程度对应预期致死率>或 = 1.0%时，脓毒症的诊断可被视为及时。当出现多器官功能不全综合征时，脓毒症的诊断必须被视为延迟。
