特重烧伤病人血清蛋白变化与败血症的关系  

Relationship Between Serum Protein Levels and Septicemia in Extensive Burned Patients

作　　者：张丕红[1] 马恩庆[1] 黄晓元[1] 龙剑虹[1] 

机构地区：[1]湖南医科大学附属湘雅医院,中国湖南长沙410008

出　　处：《湖南医学》2000年第5期325-327,共3页Hunan Medical Journal

摘　　要：目的探讨烧伤病人血清蛋白水平变化与败血症的发生、发展和预后的关系。方法回顾性分析 40例特重烧伤病人的血清蛋白值。结果2 2例并发败血症的病人血清蛋白水平低于未发生败血症组 (18例 ) ,其中因败血症而死亡的 8例病人低蛋白血症未得到纠正 ;血清白蛋白降低值与其败血症的发生密切相关 (P <0 .0 1) ,血清球蛋白和总蛋白水平也与之相关 (P <0 .0 5 )。结论严重烧伤病人烧伤后应尽早纠正低蛋白血症 ,以保证白蛋白在 30 g/L以上 ,总蛋白在 5 0g/L以上为宜 ;在整个病程中 ,应积极给予营养支持治疗 ,维持正常血清蛋白水平。ObjectiveTo study the relationship between the changes of serum protein levels and the occurrence, progress and prognosis of septicemia. Methods Retrospective analysis of serum protein levels was carried out in forty extensive burned patients. Results The serum protein levels of septicemia group (22 cases) were significantly lower than those of non septicemia group (18 cases), the levels in 8 patients died of septicemia were continuously depressed, but the hypoalbuminemia of 14 survivors complicated with septicemia could be gradually corrected. The decrease of serum albumin levels was closely correlated with occurrence of septicemia (P<0.01), whereas the levels of serum globulin and totol protein were also correlated with the disease (P<0.05). Conclusions Hypoproteinemia should be corrected soon after burn in extensive burned patients in order to maintain the levels of serum albumin and serum total protein exceeding 30g/L and 50g/L respectively ; Nutrition-supporting treatment should be given on time to keep a normal level of serum protein during the whole course of disease. [

关 键 词：特重烧伤 败血症 血清蛋白 白蛋白 

分 类 号：R644[医药卫生—外科学]