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- P I Mironov.
- Khirurgiia (Mosk). 2004 Jan 1 (6): 39-41.
AbstractResults 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.
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