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挑战在患者中白血细胞计数的解释 毒症 随着包装细胞输血后的患者
Moti Klein1,2, Lior Hassan2,3, Rivka Katz2
1General Intensive Care Unit, Soroka University Medical Center, and The Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 7747629, Israel.
Journal of clinical medicine
|June 28, 2023
概括
危急性败血症患者的包装细胞输血 (PCT) 只会对白细胞 (WBC) 数量造成轻微变化. 这项研究发现PCT后对WBC水平的临床影响最小.
科学领域:
- 关键护理医学 关键护理医学
- 血液学 血液学 血液学
背景情况:
- 败血症是一种危及生命的疾病,需要重症监护.
- 包装细胞输血 (PCT) 是常见的严重病症败血症患者.
- PCT对白细胞 (WBC) 计数的潜在影响需要调查.
研究的目的:
- 为了研究PCT对WBC数量的影响,在患有败血症的重症患者中.
- 为了量化PCT管理后白细胞计数的变化.
主要方法:
- 基于人口的回顾性队列研究.
- 包括962名接受PCT一单元的患者和994名匹配的对照.
- 分析的白细胞计数在PCT前后24小时使用混合线性回归.
主要成果:
- 在24小时内,PCT和非PCT组的白细胞计数均下降.
- 在PCT组中,白细胞计数的减少略显于PCT组.
- 在PCT后观察到白细胞计数平均下降0.45 × 10^9/L.
- 在PCT前的WBC水平预测PCT后的WBC水平.
结论:
- 在重症败血症患者中,PCT的使用会导致白细胞计数的轻微,临床上无意义的变化.
- 这些发现表明,PCT在这个患者群体中不会显著改变WBC动态.
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