多器官功能障碍综合征病人低白蛋白血症的临床分析
多器官功能障碍综合征病人低白蛋白血症的临床分析
多器官功能障碍综合征病人低白蛋白血症的临床分析
多器官功能障碍综合征病人低白蛋白血症的临床分析-医学论文
【关键词】 多器官 摘要:目的:探讨多器官功能障碍综合征病人低
白蛋白血症的临床意义。方法:对72例MODS病人入住ICU24h内测
定血清白蛋白浓度,分腹腔感染组及非腹腔感染组,死亡35例。结
果:72例MODS病人低白蛋白血症的发生率为76.38%,其中腹腔感染
组低白蛋白血症发生率90%,明显高于非感染组的病人complicated
with hypoalbuminemia. Method:72 cases of MODS whose admitted to ICU Within 24 hours were deivided into two groups according to existence of peritoneal infection or not, and 35 cases die. Results: The occurrence rate of hypoalbuminemia was 76.38% in the 72 cases. The occurrence rate was 90% in the group complicated with peritoneal infection, much higher than that in the cases without infection .The mortality rate of the patients with hypoalbuminemia was 54.55%,being much higher than that in the cases without hypoalbuminemia; The mortality rate of the patients with hypoalbuminemia and peritoneal infection was 83.33%,being much higher than that in the cases without hypoalbuminemia and peritoneal infection . Conclusion: The occurrence rate of hypoalbuminemia is higher in the severe patients, especially the cases of peritoneal infection, The decreasing level of serum albumin concentration closely with the state of illness and prognosis of the patients with MODS. Key words: Multiple organ dysfunction syndrome;Hypoal ,.cOm } buminemia; Infection 多器官功能障碍
综合征是重症监护室常见的危重病, 血清白蛋白被认为是反映营养
状况或慢性疾病危重程度的指标之一,低蛋白血症与病人的住院时间
长短及病死率密切相关,1,。为了解 MODS病人与低白蛋白血症的关
系,以及血清白蛋白与病情严重程度及预后关系。我们对2000年12
月至2016年12月入住ICU患者72例MODS病人血清白蛋白资料进行回顾性分析。 1 临床资料 1(1 病例资料:收集我科2000年12月至2016年12月入住ICU的病人72例MODS病人,男53例,女19例。年龄20,72岁。原发病为消化道穿孔19例,腹部外伤10例,重型颅脑外伤 18例,急性胰腺炎10例,各种中毒7例,其他8例。72例MODS病人中腹腔感染30例,非腹腔感染42例。所有病例既往身体健康,排除了心脏病、急慢性肝肾疾病,肌肉结缔组织疾病及恶性肿瘤。MODS诊断标准按1995年全国危重病会议上提出的标准诊断,2,。