D-二聚体、乳酸水平脓毒症SOFA评分关系对预后判断价值.pdfVIP

2014年中华中医药学会急诊分会年会暨急诊医学培训班 D一二聚体、乳酸水平与脓毒症SOFA评分的关系 及对预后的判断价值 张卓一 黄小民 陆如风周晶晶 徐俪颖 摘要：目的：探讨脓毒症患者血浆D一二聚体、乳酸与脓毒症序贯器官衰竭评估(SOFA)评 线观察标记物对预后评估的临床价值。结果：脓毒症合并MODS组或死亡组D一二聚体、乳酸值和 注不良和凝血功能障碍，血浆D一二聚体、乳酸数值与SOFA评分成正相关，对于脓毒症患者的预后 评估有较大的价值。 关键词： 脓毒症；D一二聚体； 乳酸；SOFA；关联性 correlationwithSOFAandclinical D-dimer，Lactatelevel score valueof in the of with procalcitoninestimatingprognosis patientssepsis et ZHANG Xiao—min，LU al zhuo-yi，HUANGru—feng of ProvincialTraditionalChineseMedicine EmergencydepartmentZhejiang Hospital Abstract observethe betweenthe ofthe D—dimer，lactic Objective：To relationship changesplasma acidand FailureAssessment(SOFA)scoreinthe with to sepsis Organ patients Sequential sepsis，and thevaluein the of with 2010to study estimatingprognosispatientssepsis．Methods：FromJanuary 2013， atotalof80caseswith inOur weredividedintoMODS January sepsis hospital group(32 cases)andnon-MODS(48 tothecriteriaofMODS，andweredividedinto cases)groupaccording survival cases)anddeath towhetherthesurvivalafteradmission group(58 group(22cases)according 作者单位：浙江省中医院急诊科浙江杭州 310016 通讯作者：张卓一， 通讯地址：310051杭州市滨江区铁岭花园11．1—301 Email：zhangzhuoyi701213@163．corn 联系电话