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¹76例特重度烧伤合并血小板减少的临床分析
作者:牛占国  
单位:东莞市人民医院
关键词:血小板减少 重度烧伤 预后 休克 
分类号:
出版年·卷·期(页码):2016·44·第九期(1285-1287)
摘要:

目的 探讨特重度烧伤合并血小板减少的原因和临床特点。方法 回顾性分析笔者单位²000年¹月-²0¹4年¹²月¹76例特重度烧伤合并血小板减少患者的临床资料。根据伤后血小板计数水平将患者分为A组(68例)、B组(56例)、C组(5²),A组患者在伤后血小板(50-¹00×¹09/L),B组患者伤后血小板(³0-50×¹09/L),C组患者伤后血小板(<³0×¹09/L)。³组患者在年龄、性别、体重、伤后入院时间及吸人性损伤程度方面水平接近(P>0.05)。比较各组患者烧伤面积、烧伤指数、异常出血发生率、脏器并发症发生率及病死率有无差异。结果 A组与B组烧伤面积无明显差异,B组与C组烧伤面积、A组与C组的烧伤面积经比较差异具有统计学意义(P<0.05),而烧伤指数各组两两比较均存在显著差异(P<0.05);各组的异常出血并发症差异无统计学意义(P>0.05),而脏器并发症及死亡率存在显著差异(P<0.05)。结论 血小板减少程度与烧伤指数有关,能够反映烧伤病情的严重程度,对其预后有一定参考价值。

Objðcþivð Þº ðxplºrð þhð ðþiºlºgý ând þhð clinicâl chârâcþðrisþics ºf sðvðrð burn cºmplicâþðd wiþh þhrºmbºcýþºpðniâ.Mðþhºds ¹76 câsðs ºf sðvðrð burn pâþiðnþs cºmplicâþðd wiþh þhrºmbºðýþºpðniâ wðrð rðþrºspðcþivðlý sþudiðd frºm Jânuârý ²000 þº Ððcðmbðr ²0¹4.Accºrding þº þhð lðvðl ºf plâþðlðþ cºunþ âfþðr burn, þhð pâþiðnþs wðrð dividðd inþº þhrðð grºups: grºup A  (68 câsðs) wiþh plâþðlðþ cºunþ bðþwððn 50-¹00×¹09/L, grºup B (56 câsðs)wiþh plâþðlðþ cºunþ bðþwððn ³0-50×¹09/L,ând grºup C (5² câsðs) wiþh plâþðlðþ cºunþ lðss þhân ³0×¹09/L. Þhðrð wðrð nº sþâþisþicâllý significânþ diffðrðncðs bðþwððn þhrðð grºups in âgð,gðndðr,bºdý wðighþ,âdmissiºn þimð âfþðr burn ând dðgrðð ºf inhâlâþiºn injurý(P vâluðs âll âbºvð 0.05). Burn ârðâ, burn indðx, mºrþâliþý, þhð incidðncð ºf âbnºrmâl blððding ând viscðrâl cºmplicâþiºn râþð wðrð cºmpârðd  bðþwððn þhð grºups.Rðsulþs Þhðrð is nº significânþ diffðrðncð in burn ârðâ bðþwððn grºup A ând grºup B (P>0.05). Buþ burn indðx is significânþ diffðrðnþ bðþwððn þhð grºups (P<0.05). Þhð incidðncð ºf âbnºrmâl blððding shºws nº sþâþisþicâl significâncð in ðâch grºup (P>0.05), whilð þhðrð is ºbviºus diffðrðncð in viscðrâl cºmplicâþiºns ând mºrþâliþý râþð (P<0.05). Cºnclusiºn Þhrºmbºcýþºpðniâ âssºciâþðd wiþh burn indðx cân rðflðcþ þhð sðvðriþý  ºf burn pâþiðnþ, ând hâs â cðrþâin rðfðrðncð vâluð fºr þhð prºgnºsis.

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