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结肠穿孔并发感染性休克患者红细胞分布宽度变化

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目的:分析结肠穿孔并发感染性休克患者红细胞分布宽度变化。方法:采用回顾性研究方法,收集2013-11月—2014-10月重医附一院普外科ICU收治结肠穿孔并发感染性休克患者50例纳入研究,记录休克发生24小时的APACHE II评分、红细胞分布宽度、降钙素原,以及60天的生存状况,对观察指标进行分析。结果:死亡组与存活组年龄、APACHE II评分、红细胞分布宽度、降钙素原比较差异有统计学意义,死亡组RDW的均值高于存活组(P<0.01),logistic回归分析显示APACHE II评分、红细胞分布宽度为死亡独立危险因子。结论:在结肠穿孔并发感染性休克患者中,RDW升高增加死亡风险,RDW可能是感染性休克患者预后判断的另一重要指标。
Objective:Analysis the variation of red blood cell distribution of colonic perforation with septic shockMethods:Total of 50 patients withseptic shock of colonic perforation admitted from November 2013 to October 2014 were retrospectively.APACHEⅡscore,PCT and RDW at the beginning of and 24 hours after shock,as well as the outcome of Day 60 after the diagnosis were recorded. Analysis of indicators.Results:RDW,APACHE Ⅱscore,PCT and age were higher in non- survivors than those in survivors;the logistic analysis showed thatAPACHE Ⅱscore and RDW was the risk factors for death. Conclusion:RDWof the patients with septic shock of colonic perforationis a robust predictor of mortality.RDW may be another important indicator of prognosis in patients with septic shock judgment.

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重庆医科大学附属第一医院 400016

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(7)
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