乳酸盐对在患有严重创伤的患者中传播的血管内凝血的影响
Chao Nan1, Fujing Liu1, Tijun Gu1
1Department of Emergency, Changzhou Second People's Hospital, Changzhou, Jiangsu, China.
Journal of emergencies, trauma, and shock
|November 18, 2024
概括
乳酸盐水平升高是严重创伤患者传播性血管内凝血 (DIC) 的重要危险因素. 这一发现表明,乳酸盐可以作为DIC的有价值的预测标记物.
科学领域:
- 创伤重症监护中心的重症监护中心.
- 凝血障碍 凝血障碍 凝血障碍
- 生物标志物研究的研究.
背景情况:
- 在严重的创伤中,乳酸与传播性血管内凝血 (DIC) 之间的关系尚不清楚.
- 在创伤患者中早期识别DIC风险因素对于及时干预至关重要.
研究的目的:
- 调查乳酸盐水平升高与严重创伤患者DIC发展之间的关联.
- 为了评估乳酸在这个患者群体中对DIC发生的预测价值.
主要方法:
- 在ICU重度创伤患者的前性队列研究 (2020年1月-2023年1月).
- 主要结局:发生DIC.
- 统计分析包括后勤回归,ROC曲线,DCA,Kaplan-Meier生存分析和灵敏度分析 (修改Poisson回归,E值).
主要成果:
- 乳酸被确定为严重创伤患者中DIC的显著危险因素 (调整后OR: 1.374).
- 乳酸盐对DIC的预测效率很好 (AUC:0.8513).
- 较高的DIC风险与显著增加的死亡率相关 (P < 0.001).
结论:
- 乳酸盐的升高与严重创伤中DIC的发展密切相关.
- 乳酸是严重创伤患者DIC的潜在预测生物标志物.
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