败血症患者血小板计数与预后关系

首都医科大学学报 ›› 2006, Vol. 27 ›› Issue (1): 84-86.

败血症患者血小板计数与预后关系

滕国杰, 聂秀红

首都医科大学附属宣武医院呼吸内科

收稿日期:2004-11-17 修回日期:1900-01-01 出版日期:2006-02-24 发布日期:2006-02-24

Relationship between the Platelet Counts and Prognosis in Septieamia Patients

Teng Guojie, Nie Xiuhong

Department of Respiratory Diseases, Xuanwu Hospital, Capital University of Medical Sciences

Received:2004-11-17 Revised:1900-01-01 Online:2006-02-24 Published:2006-02-24

摘要/Abstract

摘要： 目的了解败血症患者血小板水平与预后关系.方法对54例败血症患者进行回顾性分析,观察菌落归属、初次血培养阳性时血小板水平及病程严重程度(APACHEⅡ)对预后的影响,并分析不同菌落归属患者血小板水平、APACHEⅡ及其预后间的关系.结果初次血培养阳性时血小板计数和APACHEⅡ与预后密切相关,而与菌落归属无相关性.血小板计数<100×10⁹/L者APACHEⅡ评分明显升高(P<0.05),不同菌落属感染患者血小板水平、APACHEⅡ与预后间差异无统计学意义.结论败血症患者血小板水平与APACHEⅡ评分及预后密切相关,血小板水平能较好的反映败血症患者病情及预后.

关键词: 败血症, 血小板, 预后

Abstract: Objective To investigate the relation ship between platelet counts and prognosis in patients with sepsis.Methods Parameters in 54 patients with sepsis were analyzed retrospectively,to show the effects of bacterial genus,platelet counts in first positive blood culture and APACHEⅡ scores on prognosis.The difference between Gram-positive cocci and Gram-negative bacillus in patients sepsis were observed in terms of platelet counts,APACHEⅡ scores and prognosis.Results Platelet counts in first positive blood culture and APACHEⅡ scores were closely correlated with prognosis.The APACHEⅡ scores was significantly higher in patients with platelet counts<100×10⁹/L(P<0.05).There was no difference in platelet counts,APACHEⅡ scores and prognosis between Gram-positive cocci and Gram-negative bacillus in patients with sepsis.Conclusion Platelet counts in patients with sepsis are correlated APACHEⅡ scores and prognosis,platelet counts are good indicators of prognosis and severity in patients with sepsis.

Key words: sepsis, platelet, prognosis

中图分类号:

R515.3

滕国杰;聂秀红. 败血症患者血小板计数与预后关系[J]. 首都医科大学学报, 2006, 27(1): 84-86.

Teng Guojie;Nie Xiuhong. Relationship between the Platelet Counts and Prognosis in Septieamia Patients[J]. Journal of Capital Medical University, 2006, 27(1): 84-86.

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