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題 名 | 血中血小板數值在嚴重燒傷病患罹患敗血症時的變化與臨床意義 |
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作 者 | 陳琮琳; 邱浩遠; 李經維; 謝式洲; 姚碧春; 楊榮哲; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 3:1 1994.03[民83.03] |
頁 次 | 頁27-31 |
分類號 | 416.141 |
關鍵詞 | 燒傷; 血小板; 敗血症; Burn; Platelet; Sepsis; |
語 文 | 中文(Chinese) |
中文摘要 | 感染併敗血症乃是目前燒傷病人死亡的主要原因。如何能儘早測知是否有感染,進而治療乃是臨床上的一大挑戰。本文收集成大醫院自民國七十七年七月至民國酣年七月遭受重度以上燒傷並有完整血小板值記錄者,探究其血小板值與臨床關係。共計七十四人符合規定之要件,男女比的八比五,平均燒傷面積為百分之四十六點六六;受傷後第一天血小板值達360,266 ± 150,438/mm�纂A明顯高於控制組之251,850 ± 83.75/mm��(P值<0.01),至第三天血小板值為216,276 ± 109,497/mm�纂A則反低於控制組(p值<0.05);位院過程中發生敗血症之人數為25例,其前後三天血小板數值(270,455±216,329/mm��)較之控制組為高;若比較敗血症之後存活下來與最後死亡的病患,卻發現後死亡族群的數值(158,661 ± 110,732/mm��)較之存活族群的數值(383,256 ± 194,737/mm��)或控制組皆偏低很多。因此我們認為燒傷患者的血小板數值會隨著病程而更動,當病人罹患敗血症後,血中血小板值若持續偏低,則預后較差。亦即血小板值可做為敗血症改善與否或病患存沒的簡單參考數據。 |
英文摘要 | There is consensus that infection is the primary source of morbidity and mortalityfrom extensive burn injury. Early detection of infection might control the ongoing septicemia better. In this paper, we collected 74 cases of severe burn admitted to the National Chang - Kung Univeristy Holpital from July 1988 to July 1992 to analyze plateletcounts and clinical progression. There were 74 patients with male to female 8:5. Avergeburn surface area was 46.66. Platelet counts for the first post-burn day was 360,266 ±150,438/mm�� ; significantly higher than control group 251,850 ± 83.75/mm�� (P<0.01) .Platelet counts for the third postburn day was 216,276 ± 109,496/mm�� ; significantly lower than control group (P<0.05). Twenty-five cases had sustained sepsis and 9 ofthem expired. The mean platelet counts for around the first sepsis day was 362,383 ± 199,775 /mm�� and for the third day post sepsis was 270,455 ± 216,329/mm��. Furtheranalysis of patients with sepsis has led to the result : platelet counts of the mortalitygroup ( 158,661 ± 110,732/mm�� ) were significantly lower than the data in survived group( 383,256 ± 194,737/mm�� ) and control group. The available dara suggest that clinicalprogression of burned patients is related to their platelet counts. When sepsis were assessed clinically, platelet counts of patient became a valuable guide for the progression ofthe patient. |
本系統中英文摘要資訊取自各篇刊載內容。