医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
27期
142-143
,共2页
早产儿%新生儿肺炎%新生儿窒息%新生儿败血症%DIC过筛试验
早產兒%新生兒肺炎%新生兒窒息%新生兒敗血癥%DIC過篩試驗
조산인%신생인폐염%신생인질식%신생인패혈증%DIC과사시험
Premature infant%Pneumonia of newborn%Asphyxia of newborn%Sepsis of newborn%DIC sieve test
目的：探讨几种新生儿疾病（早产儿、新生儿肺炎、新生儿窒息、新生儿败血症）DIC过筛试验（PT、APTT、Fib、TT、D-D、FDP和 AT-III）各指标的变化及临床意义。方法将176例新生儿疾病患儿根据其入院第一诊断分为早产儿组、肺炎组、窒息组、败血症组，入院24h内采血进行DIC过筛试验测定。结果与正常足月新生儿相比，各组患儿血浆PT、APTT均不同程度延长，差异具有显著性意义（P＜0.05）；各组患儿Fib、AT-III降低明显（P＜0.05）；早产组、肺炎组和窒息组患儿 D-D、FDP升高明显（P＜0.05）；败血症患儿TT延长，变化明显（P＜0.05）。结论对新生儿疾病患儿进行DIC过筛试验检测，对凝血功能紊乱、早期DIC患儿的诊断、正确选用药物均有一定的指导意义。
目的：探討幾種新生兒疾病（早產兒、新生兒肺炎、新生兒窒息、新生兒敗血癥）DIC過篩試驗（PT、APTT、Fib、TT、D-D、FDP和 AT-III）各指標的變化及臨床意義。方法將176例新生兒疾病患兒根據其入院第一診斷分為早產兒組、肺炎組、窒息組、敗血癥組，入院24h內採血進行DIC過篩試驗測定。結果與正常足月新生兒相比，各組患兒血漿PT、APTT均不同程度延長，差異具有顯著性意義（P＜0.05）；各組患兒Fib、AT-III降低明顯（P＜0.05）；早產組、肺炎組和窒息組患兒 D-D、FDP升高明顯（P＜0.05）；敗血癥患兒TT延長，變化明顯（P＜0.05）。結論對新生兒疾病患兒進行DIC過篩試驗檢測，對凝血功能紊亂、早期DIC患兒的診斷、正確選用藥物均有一定的指導意義。
목적：탐토궤충신생인질병（조산인、신생인폐염、신생인질식、신생인패혈증）DIC과사시험（PT、APTT、Fib、TT、D-D、FDP화 AT-III）각지표적변화급림상의의。방법장176례신생인질병환인근거기입원제일진단분위조산인조、폐염조、질식조、패혈증조，입원24h내채혈진행DIC과사시험측정。결과여정상족월신생인상비，각조환인혈장PT、APTT균불동정도연장，차이구유현저성의의（P＜0.05）；각조환인Fib、AT-III강저명현（P＜0.05）；조산조、폐염조화질식조환인 D-D、FDP승고명현（P＜0.05）；패혈증환인TT연장，변화명현（P＜0.05）。결론대신생인질병환인진행DIC과사시험검측，대응혈공능문란、조기DIC환인적진단、정학선용약물균유일정적지도의의。
Objective to investigate the several disease of newborn (prematurity,neonatal pneumonia,neonatal asphyxia,neonatal sepsis)DIC screening test (PT,APTT,Fib,TT, D-D,FDP and AT-III)and the clinical significance of changes of each index. Methods 176 cases of neonatal disease in childrenaccording to their admission first diagnosis into premature group,pneumonia group,asphyxia group,sepsis group,within 24h after admission was tested for DIC screening test. Results comparedwith the normal ful -term newborn infants,plasma PT,APTT in each group were extended,and there were significant dif erences(P<0.05);each group with Fib,AT-III decreased significantly(P<0.05);preterm group,pneumonia group and asphyxia group:D-D,FDP increased significantly (P<0.05);sepsis children withprolonged TT,changed significantly (P<0.05). Conclusion DIC screening test on newborn children,on blood coagulation function disorder,early diagnosis,correct selection of children with DICdrugs have certain guiding significance.
