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- Title
血浆 D-二聚体、CRP 及血乳酸在急诊创伤性休克患者中的表达及临床意义.
- Authors
夏长兴; 江从兵; 周永江; 陈然贵; 徐林
- Abstract
Objective: To investigate the expression and clinical significance of plasma D-two diiner. C reactive protein (CRP) and blood lactate in patients with acute tramnatic shock. Methods: 1S6 patients with traumatic shock who were treated in our hospital from February 2015 to September 2017. and they were divided into survival group and death group according to the final outcome of patients. The patients were transferred out of intensive care unit after the stable condition as the survival group (106 cases), and the patients were dead as the death group (80 cases). The scores of acute physiology and chronic health score II (APACHE II) were compared between the two groups, the levels of plasma D-two dimer. C reactive protein (CRP) and blood lactate were compared between the two groups at admission. 12h after admission and 24h after admission, and the correlation between the levels of plasma D-two dimer. CRP and blood lactate and APACHE II score was analyzed. Results: The APACHE II score of death group was significantly higher than that of survival group, the difference was statistically significant (p<0.05)- The levels of D-two dimer and CRP in the two groups were gradually increased with time, and the level of blood lactate was gradually decreased, the difference was statistically significant (p<0.05). and the levels of D-two dimer. CRP and blood lactate in the survival group were lower than those in the death group at each time point, and the difference was statistically significant (p<0.05). The levels of plasma D-two dimer. CRP and blood lactate in the two groups were positively correlated with APACHE II score (r=0.564. 0.676. 0.506. (P<0.0S). Conclusion: The levels of plasma D-two dimer. CRP and blood lactate are correlated with APACHE II score in patients with acute traumatic shock.which can be assessed clinically to assess the patient's condition and prognosis.
- Publication
Progress in Modern Biomedicine, 2018, Vol 18, Issue 13, p2571
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2018.13.036