Background : We examined the effectiveness of Systemic Inflammatory Response Syndrome (SIRS) to describe patients with strangulation ileus. Methods : The subjects consisted of 72 patients given a diagnosis of ileus who underwent surgery during the period from January 2001 to December 2007. On the basis of the surgical findings, they were classified into two groups : the strangulation group, consisting of 27 patients, and the control group, consisting of 45 patients with simple ileus. The background factors, SIRS, blood test findings before treatment, and vital signs were compared between these two groups in a retrospective study. Results : A univariate analysis revealed statistical significant differences between the two groups in SIRS, white blood cell count, Platelet, CRP, CPK, PaCO2, BE, PF ratio, MAP, pulse rate, and GCS. The SIRS, CRP, PF ratio, and BE were significant independent factors in the multivariate analysis. Conclusions : SIRS was proved to be highly effective as a diagnostic method for strangulation ileus.
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