ICU维、汉脓毒血症患者临床检验比较研究

Clinical Laboratory Differences in Severe Sepsis between Uygur Patients and Han Nationality Patients

目的比较分析重症监护病房(intensive care unit,ICU)中维、汉脓毒血症患者之间临床实验检查的异同。方法对笔者医院综合ICU 2006年1月～2009年12月维、汉脓毒血症患者进行血常规、血生化、血气分析、凝血功能、病原学培养及平均急性生理和慢性健康状况Ⅱ评分。结果调查ICU维、汉脓毒血症病人100例,维、汉死亡患者血常规、生化、血气部分指标存在差异,相关因素分析显示:死亡原因与钠离子、渗透压、碱性磷酸酶相关,感染以鲍曼不动杆菌发生率最高。结论维、汉脓毒血症患者,部分病理生理指标存在差异。表明脓毒血症对机体产生的病理生理机制在维、汉脓毒血症患者中存在不同,需进一步探讨。

Objective To evaluate clinical laboratory differences in sepsis between Uygur and Han nationality patients. Methods Blood routine, biochemical indexes, blood gas, coagulation function, etiological culture, acute physiology and chronic health evaluation （ lI ） were investigated retrospectively among Uygur and Han patients in general ICU of our hospital from december 2004 to November 2009. Results One hundred patients were studied. There were some difference in clinical practice variations in Uygur, Han patients. The results of the analysis of related factors showed that there was a relationship between the cause of death and sodium, osmolality, alkaline phosphatase. The infection of aeinetobacter baumannii was most in all pathogenic bacteria. Conclusion There were some differences in clinical pathophysiologic indexes between Uygur and Han sepsis patients. It shows that the pathophysiological mechanism is different and need to be further explored.