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凝血生物标志物作为创伤患者输血结果的预测因素
1Department of General Surgery, First Affiliated Hospital of Huzhou University Huzhou 313000, Zhejiang, China.
American journal of translational research
|September 15, 2025
概括
像纤维素原 (FIB),纤维素降解产物 (FDP) 和D-二次体 (D-D) 这样的凝血生物标志物预测创伤输血结果. 结合FIB,FDP,D-D和白细胞计数 (WBC) 的组合模型提供了卓越的预测准确性.
科学领域:
- 创伤研究研究创伤研究
- 血液学 血液学 血液学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 创伤患者经常经历凝血失调.
- 预测输血结果对于管理创伤患者至关重要.
- 凝血生物标志物可以提供对预后的见解.
研究的目的:
- 评估纤维素原 (FIB),纤维素降解产物 (FDP),D-二次体 (D-D) 和FDP/FIB比率,以预测创伤中的输血结果.
- 确定输血结果的独立预测因素.
- 评估这些生物标志物的联合预测价值.
主要方法:
- 对112个创伤病例的回顾性分析.
- 在良好的和不良的预后组之间的输血前凝血生物标志物水平的比较.
- 后勤回归和ROC曲线分析用于预测器识别和性能评估.
主要成果:
- 预后不佳的组表现出较低的FIB,较高的FDP,D-D,FDP/FIB比率,以及白细胞计数 (WBC).
- 多变量分析确定了FIB,FDP,D-D和WBC作为独立的预测因素.
- 综合生物标志物模型的AUC达到0.923,超过了单个标志物的AUC.
结论:
- 纤维素素,FDP,D-D和WBC是创伤中输血结果的重要预测因素.
- 综合生物标志物模型显示出优异的预测性能.
- 识别凝血失调对于创伤预后至关重要.
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