从多个角度来看,识别与严重烧伤后的生存结果相关的早期凝血变化
Shengyu Huang1, Qimin Ma2, Xincheng Liao1
1Medical Center of Burn Plastic and Wound Repair, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China.
Scientific reports
|May 7, 2024
概括
严重的烧伤伤害导致与死亡率相关的早期凝血变化. 关键的基因表达和临床标记物,如D-二次体,预测致命的结果,帮助重症监护优先级.
科学领域:
- 生物医学科学 生物医学科学
- 遗传学 是一个遗传学.
- 关键护理医学 关键护理医学
背景情况:
- 凝血变化是严重烧伤后的早期指标.
- 这些变化与患者死亡率密切相关.
- 需要准确地描述与死亡率相关的早期凝血变化.
研究的目的:
- 检查转录和临床层面的凝血指标的变化.
- 为了确定特定的基因和临床标记,预测严重烧伤后的死亡率.
- 了解凝血路径与与烧伤有关的死亡率之间的联系.
主要方法:
- 转录组分析以确定差异表达的凝血相关基因 (DECRGs).
- 门德尔随机化验证DECRG的因果关系.
- 对临床指标的分析,包括D-二聚物和血清水平.
主要成果:
- 识别了28个DECRG烧伤后伤害.
- 发现了DECRG (CYP4F2,P2RX1) 和中性粒细胞功能之间的关联,预测了致命的结果.
- 早期的D-二聚物水平和血清的变化与死亡率有很强的相关性.
- 凝血衰竭和纤维溶解激活与死亡率相关.
结论:
- 早期的凝血变化,包括特定的基因表达和临床标记,是严重烧伤患者死亡率的关键预测因素.
- 监测这些标志物可以指导优先重症监护的分配.
- 了解这些途径对于改善严重烧伤管理结果至关重要.
相关概念视频
Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
Coagulation
6.3K
The coagulation phase is a critical part of the body's process to prevent blood loss following injury to blood vessels. It involves chemical reactions that form a clot to seal the injured area. The clotting process begins shortly after injury, within 15-20 seconds for severe damage and 1-2 minutes for minor injuries.
During the coagulation phase, clotting factors, or procoagulants, play a vital role in initiating and progressing the coagulation cascade. This cascade is a series of reactions...
During the coagulation phase, clotting factors, or procoagulants, play a vital role in initiating and progressing the coagulation cascade. This cascade is a series of reactions...
6.3K
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
141
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
141
Extrinsic and Intrinsic Pathways of Hemostasis
7.3K
Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
7.3K
Introduction to Hemostasis
7.4K
Hemostasis is a complex physiological process that prevents excessive bleeding when a blood vessel is injured. It's crucial for maintaining the integrity of the circulatory system, as it ensures that our blood remains fluid while still within the vascular network and yet clots to prevent blood loss upon vessel injury.
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
7.4K


