儿童复合外伤的临床特点以及其预后与血浆降钙素原浓度的关系  

Clinical characteristics of severe multiple injury in children and relationship between prognosis and plasma procalcitonin

作　　者：邓高燕 邓志坚 张焯荣 郑永钦 邓丽珊 黄间维 梁宇峰 Deng Gaoyan;Deng Zhijian;Zhang Zhuorong;Zheng Yongqin;Deng Lishan;Huang Jianwei;Liang Yufeng(Department of Pediatric Surgery,Guangzhou Women and Children’s Medical Center,Guangzhou 510623,China;PICU,Guangzhou Women and Children’s Medical Center,Guangzhou 510623,China)

机构地区：[1]广州市妇女儿童医疗中心小儿外科,510623 [2]广州市妇女儿童医疗中心儿童院区PICU,510623

出　　处：《国际医药卫生导报》2020年第12期1690-1692,共3页International Medicine and Health Guidance News

基　　金：广州市卫计委研究课题(20181A010026)。

摘　　要：目的分析儿童复合外伤的的预后,及其与血浆降钙素原的关系,为儿童复合外伤的诊治提供参考。方法对广州市妇女儿童医疗中心2018年5月至2019年7月收治的50例复合外伤儿童进行回顾性分析和研究。利用SAS软件分析统计各年龄组的复合外伤构成,并且分析复合外伤死亡与血浆降钙素原的关系。结果50例复合外伤儿童中,男26例(52%),女24例(48%)。复合外伤种类按照例数排序依次为跌倒/坠落伤30例(60%)、交通事故伤20例(40%)。幼儿期组是意外伤害的高发年龄段,共20例(40%),其次是婴儿期组15例(30%)和学龄前期组10例(20%),学龄组5例(10%)。复合外伤患儿死亡组2例,其血浆降钙素原浓度比非死亡组高(P<0.05)。结论检测复合外伤患儿的血浆降钙素原,可以预测患儿预后,为临床工作提供参考。Objective To monitor their outcomes by analyzing the clinical features of children with multiple injury and the relationship between the prognosis and the plasma procalcitonin.Methods 50 children with multiple injuries admitted to Guangzhou Women and Children Medical Center from May,2018 to July,2019 were retrospectively analyzed.SAS software was used to analyze the injury types in each age group.The concentration of plasma procalcitonin was analyzed retrospectively.Results Among the 50 children,there were 26 males(52%)and 24 females(48%).The injury types in the order of case numbers were as follows:30 falling injury(60%)and 20 traffic accident injury(40%).The young children group has the highest incidence of multiple injury,with 20 cases(40%),followed by 15 cases(30%)in the infant group,10 cases(20%)in the preschool children group,and 5 cases(10%)in the school group.There were 2 dead cases,and their plasma procalcitonin were significantly higher than the group without death’s(P<0.05).Conclusion Plasma procalcitonin may be a tool to predict the prognosis of children with multiple injury,providing reference for the clinical work.

关 键 词：儿童 复合外伤 降钙素原 预后 

分 类 号：R726.5[医药卫生—儿科]