创伤与急诊电子杂志
創傷與急診電子雜誌
창상여급진전자잡지
Journal of Trauma and Emergency (Electronic Version)
2015年
3期
30-32
,共3页
超敏c反应蛋白%d-二聚体%肌钙蛋白i%肺挫伤%急性呼吸窘迫综合征
超敏c反應蛋白%d-二聚體%肌鈣蛋白i%肺挫傷%急性呼吸窘迫綜閤徵
초민c반응단백%d-이취체%기개단백i%폐좌상%급성호흡군박종합정
Hypersensitive c-reactive protein%d-dimer%Troponin i%Pulmonary contusion%acute respiratory distress syndrome
目的：观察超敏c反应蛋白（hs-crP）、d-二聚体(dd)及肌钙蛋白i(cTni)在肺挫伤后急性呼吸窘迫综合征（acute respiratory distress syndrome,ards）患者中的变化情况，探讨其临床意义。方法对128例急性肺挫伤患者入科24小时内测定hs-crP、dd、cTni水平，追踪观察1周内患者伤情变化，终点事件为ards。依据检测结果分为ards组和对照组。结果128例肺挫伤患者中1周内发生ards 29例。ards组hs-crP、dd和cTni值分别为（7.89±3.24）mg/l、（5.32±2.14）μg/ml和（2.34±1.04）ng/ml，均明显高于对照组的（6.08±2.46）mg/l、（4.26±2.08）μg/ml和（1.87±0.98）ng/ml（P<0.05）。结论hs-crP、dd及cTni水平可以作为肺挫伤后ards的病情评估指标。
目的：觀察超敏c反應蛋白（hs-crP）、d-二聚體(dd)及肌鈣蛋白i(cTni)在肺挫傷後急性呼吸窘迫綜閤徵（acute respiratory distress syndrome,ards）患者中的變化情況，探討其臨床意義。方法對128例急性肺挫傷患者入科24小時內測定hs-crP、dd、cTni水平，追蹤觀察1週內患者傷情變化，終點事件為ards。依據檢測結果分為ards組和對照組。結果128例肺挫傷患者中1週內髮生ards 29例。ards組hs-crP、dd和cTni值分彆為（7.89±3.24）mg/l、（5.32±2.14）μg/ml和（2.34±1.04）ng/ml，均明顯高于對照組的（6.08±2.46）mg/l、（4.26±2.08）μg/ml和（1.87±0.98）ng/ml（P<0.05）。結論hs-crP、dd及cTni水平可以作為肺挫傷後ards的病情評估指標。
목적：관찰초민c반응단백（hs-crP）、d-이취체(dd)급기개단백i(cTni)재폐좌상후급성호흡군박종합정（acute respiratory distress syndrome,ards）환자중적변화정황，탐토기림상의의。방법대128례급성폐좌상환자입과24소시내측정hs-crP、dd、cTni수평，추종관찰1주내환자상정변화，종점사건위ards。의거검측결과분위ards조화대조조。결과128례폐좌상환자중1주내발생ards 29례。ards조hs-crP、dd화cTni치분별위（7.89±3.24）mg/l、（5.32±2.14）μg/ml화（2.34±1.04）ng/ml，균명현고우대조조적（6.08±2.46）mg/l、（4.26±2.08）μg/ml화（1.87±0.98）ng/ml（P<0.05）。결론hs-crP、dd급cTni수평가이작위폐좌상후ards적병정평고지표。
Objective To observe the variation of hypersensitive c-reactive protein (hs-crP), d- dimer (dd) and troponin i (cTni) patients with acute respiratory distress syndromes(ards)after lung contusion and to explore its clinical significance.Method Hs-crP, dd, cTni levels of 128 patients with acute pulmonary contusion were measured within 24 hours after being enrolled into the department and their injury condition was followed up for a week with ards defined as the clinical endpoint. Based on the test results, they were divided into the ards and the normal group.Result 29 cases of ards occurred in 128 patients with pulmonary contusion within 1 week. Hs-crP value, dd value and cTni value in the ards group were (7.89 ±3.24)mg/l,(5.32±2.14)μg/ml,and(2.34±1.04)ng/ml,respectively,significantly higher than those of the control group which were(6.08±2.46)mg/l,(4.26±2.08)μg/ml,(1.87±0.98)ng/ml(P<0.05). Conclusion Hs-crP, dd and cTni levels can be used as indicators to assess the ards after lung contusion.
