| 楼小华 王晓勇 张志荣.严重多发伤早期患者血清白蛋白、钙变化对预后的影响[J].实用中西医结合临床,2008,(1):11-13 |
| 严重多发伤早期患者血清白蛋白、钙变化对预后的影响 |
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| DOI： |
| 中文关键词: 严重多发伤 白蛋白 钙 |
| 英文关键词: Severe multipie injury Albumin Calcium |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨严重多发伤早期患者血清白蛋白、血清钙含量变化及其对病情和预后的影响。方法：记录79例严重多发伤患者入院后24h内血清白蛋白含量、SIRS评分、急性生理与慢性病理状况评分（APACHE Ⅱ）及24、48、72、120、168h血清总钙。结果：与正常对照组比较，严重多发伤患者血清白蛋白、血清钙含量均明显降低，血清白蛋白与钙含量正相关，预后不良组血清白蛋白、血清钙含量明显低于预后良好组，而APACHEⅡ评分明显高于预后良好组。结论：严重多发伤早期患者血清白蛋白含量和血清钙含量对评估患者病情和预后有重要意义。 |
| 英文摘要: |
| Objective:To study the Dynamic changes of serum albumin and calcium in early severe multiple injury and it is effect on diagnosis and prognosis.Methods:Seventy-nine patients with severe multiple injury were selected. Detected their serum albumin, SIRS score, acute physiology and chronic health evaluationⅡ(APACHEⅡ) in 24 hours after in hospital, detected their serum calcium in 24, 48, 72, 120, 168 hours after in hospital. Results:Compered with normol group, severe multiple injury group showed significant lower concentration of serum albumin and calcium. The concentration of serum albumin was related with serum calcium in early severe multiple injury patients. The unfavourable prognosis group had significant lower concentration of serum albumin and calcium, higher APACHEⅡthan favourable prognosis group. Conclusion:Detected serum albumin and calcium was helpful for diagnosis and prognosis evaluation of severe multipie injury patients. |
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