摘要
目的:探讨血清尿素与肌酐在上下消化道大出血鉴别诊断中的意义。方法:回顾性分析68例消化道大出血病例。结果:36例上消化道大出血病例中32例血清尿素>8.9mmol/L,其X±SD为13.9±2.5,血清肌酐的X±SD为86.3±14.2。32例下消化道大出血病例中血清尿素的X±SD为5.8±2.4,血清肌酐的X±SD为84.5±12.5。上消化道出血组血清尿素与下消化道出血组比较,P<0.01有显著差异。其血清肌酐间比较P<0.05无显著差异。上消化道和下消化道出血组的血清肌酐与对照组比较均P<0.01有显著差异。结论:在参考血清肌酐的情况下,血清尿素浓度有助于鉴别诊断上下消化道大出血。
Objective:To explore the significance of serum urea and creatinine in the differentiation and diagnosis of massive hemorrhage in upper and lower digestive canal.Methods:68 cases with massive hemorrhage of digestive canal were retrospectively analyzed.Results In 36 cases with massive hemorrhage of upper digestive canal,the serum urea of 32 cases was8.9.1mmol/L,the was 13.9±2.5,the of serum creatinine was 86.3±14.2.The of serum urea in 32 cases with lower digestive canal was 5.8±2.4,the of serum creatinine was 84.5±12.5.The serum urea in upper digestive canal hemorrhage group and lower digestive canal hemorrhage group had obvious differences,P0.01,serum creatinine in the 2 groups had no obvious differences,P0.05.The serum creatinine in upper digestive canal hemorrhage group and lower digestive canal hemorrhage group had obvious differences with control group,P0.01.Conclusions:Serum urea was helpful to differentiate and diagnose massive hemorrhage in upper and lower digestive canal under the situation of referring serum creatinine.
出处
《内蒙古中医药》
2013年第32期72-73,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
血清尿素
血清肌酐
消化道出血
Serum urea
Serum creatinine
Digestive canal hemorrhage