Vega J, Karlezi R A, Gálvez S
Unidad de Cuidados Intensivos, Hospital Gustavo Fricke, Viña del Mar, Chile.
Rev Med Chil. 1990 Jun;118(6):643-8.
Hospitalization of a patient in critical care unit for over a month is exceptional and often raises the question of an irreversible disease process. From 2715 consecutive patients admitted to an intensive care unit in the last 4 years we identified 20 patients remaining in the unit for over a month. Acute pancreatitis and septic abortion were the most common diagnosis at admission. Overall mortality in this series was 30%. None of the complications developing or the therapeutic procedures used in the first 3 weeks predicted the outcome. In contrast, the presence of respiratory failure, septic shock, requirement of ventilation or parenteral nutrition at day 30 was highly associated with mortality.
一名患者在重症监护病房住院超过一个月的情况很罕见，常常引发关于不可逆疾病进程的疑问。在过去4年连续收治到重症监护病房的2715名患者中，我们识别出20名在该病房住院超过一个月的患者。急性胰腺炎和感染性流产是入院时最常见的诊断。该系列患者的总体死亡率为30%。前3周出现的并发症或所采用的治疗手段均无法预测结局。相比之下，第30天时出现呼吸衰竭、感染性休克、需要通气或肠外营养与死亡率高度相关。
