CAJ | 학술논문

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。
목적：탐토혈유산농도화D－이취체연합측정대급진창상성휴극환자예후평고적개치。방법회고성분석98례급진창상성휴극환자적림상자료，기중77례경ICU치료후존활병전출（존활조），21례환자경ICU급구후사망（사망조）。관찰량조환자혈유산농도화D－이취체수평。결과존활조입원시、6 h、12 h、24 h혈유산수평、D－이취체수평、급성심이학여만성건강상황Ⅱ（ APACHEⅡ）평분균저우사망조（ P＜0.05）。결론연합측정혈유산농도、D－이취체급APACHEⅡ평분，능준학평개병정급예후，위림상구치급성창상성휴극환자제공삼고。
Objective To investigate the value of blood lactate concentration and D -dimmer determination for the prognosis of patients withtraumaticshock.Methods 98patientswithtraumaticshockwereretrospectivelyanalyzed,including77casessurvivedand21cases 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 A-PACHE II score were lower than those in the death group (P<0.05).Conclusion The combined determination of blood lactic acid con-centration, 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 .