摘要
目的:评估血小板/淋巴细胞值(PLR)对急性A型主动脉夹层患者手术预后的预测价值。方法:选择2015年1月至2016年12月间行急性A型主动脉夹层弓部手术置换的患者107例,根据术前PLR分为高PLR组(PLR≥150∶1)和低PLR组(PLR<150∶1),比较两组患者术前、术中及术后不良事件(死亡、自动出院、截瘫、肾衰及神经系统永久损伤)发生率。结果:两组患者术前一般资料及术中数据比较差异无统计学意义(P>0.05),而高PLR组患者的术后不良事件的发生率低于低PLR组,差异具有统计学意义(P<0.05)。结论:急性A型主动脉夹层患者术前高PLR提示有更好的预后。
Objective： To evaluate the role of platelet to lymphocyte ratio （PLR） in predicting the prognosis of acute type A aortic dissection. Methods： A retrospective analysis was performed of 107 patients undergoing bow surgery between January 2015 to December 2016. The patients with type A acute aortic dissectionwere divided into two groups according to the preoperative PLR （ ≥ 150 ： 1 and 〈 150 ： 1 ）. The incidence of preoperative, intraoperative and postoperative adverse events （death, auto-discharge, paraplegia, renal failure, and permanent damage to the nervous system ） were compared between the two groups. Results： There was no significant difference in preoperative general data and intraoperative data between the two groups （ P 〉 0.05 ）. The incidence of postoperative adverse events was lower in the high PLR group than that in the low PLR group, the difference was statistically significant （P 〈 0.05 ）. Conclusion： Preoperative high PLR in patients with type A acute aortic dissection suggests a better prognosis.
作者
杨婷
王雷
肖立琼
黄福华
陈鑫
YANG Ting;WANG Lei;XlAO Liqiong;HUANG Fuhua;CHEN Xin(Department of Thoracic and Cardiovascular Surgery,Nanjing First Hospital,Nanjing Medical University,Nanfing 210006,China)
出处
《现代医学》
2018年第6期656-659,共4页
Modern Medical Journal
关键词
A型主动脉夹层
血小板/淋巴细胞值
炎症反应
不良事件
type A aortic dissection
platelet to lymphocyte ratio
inflammatory response
adverse event
