血乳酸浓度和D-二聚体联合测定对急诊创伤性休克患者预后评估研究  

Study of Blood Lactate Concentration and D- dimmer Determination on the Evaluation of the Prognosis of Patients with Traumatic Shock

作　　者：黎永胜[1] 朱文捷[1] 陈小华[1] 林重辉[1] 

机构地区：[1]汕头大学医学院第一附属医院急诊科,广东汕头515000

出　　处：《黑龙江医学》2015年第4期426-427,共2页Heilongjiang Medical Journal

摘　　要：目的探讨血乳酸浓度和D-二聚体联合测定对急诊创伤性休克患者预后评估的价值。方法回顾性分析98例急诊创伤性休克患者的临床资料,其中77例经ICU治疗后存活并转出(存活组),21例患者经ICU急救后死亡(死亡组)。观察两组患者血乳酸浓度和D-二聚体水平。结果存活组入院时、6 h、12 h、24 h血乳酸水平、D-二聚体水平、急性心理学与慢性健康状况Ⅱ(APACHEⅡ)评分均低于死亡组(P<0.05)。结论联合测定血乳酸浓度、D-二聚体及APACHEⅡ评分,能准确评价病情及预后,为临床救治急性创伤性休克患者提供参考。Objective To investigate the value of blood lactate concentration and D- dimmer determination for the prognosis of patients with traumatic shock. Methods 98 patients with traumatic shock were retrospectively analyzed,including 77 cases survived and 21 cases died who were treated by ICU after the first aid. Blood lactate concentration and D- dimmer of the two groups were observed. Results Blood lactic acid（ LA） levels were lower in the survival group than that in the death group at 6 h,12 h,24 h,D- dimmer level and APACHE II score were lower than those in the death group（ P 〈0. 05）. Conclusion The combined determination of blood lactic acid concentration,D- dimmer and APACHE II score can accurately evaluate the severity and prognosis,and provide the reference for the clinical treatment of acute traumatic shock patients.

关 键 词：创伤性休克 乳酸 D-二聚体 APACHEⅡ评分 

分 类 号：R446.1[医药卫生—诊断学]