摘要
目的观察危重病患者早期血磷水平，探讨其对预后的影响。方法入住我院重症监护病房（ICU）的危重病患者52例，入科后行急性生理学与慢性健康状况评分Ⅱ（APACHEⅡ），检测血磷含量，记录患者机械通气时间及1个月的存活情况。结果危重病患者早期血磷含量与APACHEⅡ评分、机械通气时间均存在显著负相关（P〈0．01）；死亡组血磷较生存组显著降低（P〈0．05），APACHEⅡ评分明显增加（P〈0．05），机械通气时间明显延长（P〈0．05）。结论危重病患者早期检测血清磷含量对于判断其病情及预后具有重要价值。
Objective To investigate the levels of plasma phosphate and the prognosis in critically ill patients. Methods After admission to intensive care units （ ICU ） , 52 critical patients accepted acute physiology and chronic health evaluation（APACHE） Ⅱ score. The levels of plasma phosphate were detected, and the time of mechanical ventilation and one - month survival rate were observed. Result The levels of plasma phosphate was significantly correlated with APACHE Ⅱ score and the time of mechanical ventilation in critical patients（ P 〈 0.01 ）. The levels of plasma phosphate in survival group were significantly higher than that of non - survival group（ P 〈 0.05 ）. There were obvious differences in APACHE Ⅱ score and the time of mechanical ventilation between survival group and non -survival group（ P 〈0.05 ）. Conclusions The early level of plasma phosphate has an important value in the diagnosis of its condition and prognosis in critically ill patients.
出处
《中国急救医学》
CAS
CSCD
北大核心
2009年第3期252-253,共2页
Chinese Journal of Critical Care Medicine
关键词
危重病
低磷血症
预后
Critical illness
Hypophosphatemia
Prognosis
