检验危急值在住院精神疾病患者中的分布

Distribution of critical value in hospitalized psychiatric patients

目的:探讨精神疾病住院患者检验危急值的分布。方法:回顾性分析近5年我院检验科73 092例/次精神疾病患者检验危急值项目(血清钾、钙、肌酸激酶、血糖、血红蛋白浓度、白细胞和血小板计数)危急值发生情况。结果:检验危急值报告率0.97%(709例/次),以低血钾、肌酸激酶升高和白细胞减少位列前三,分别占检验危急值报告总例数的41.5%、24.2%和11.7%。女性患者低血钾危急值发生率明显高于男性,男性患者血清肌酸激酶升高危急值发生率明显高于女性(P均<0.001);白细胞减少危急值发生率性别间差异无统计学意义。结论:住院精神病患者最常见的检验危急值是低血钾、血清肌酸激酶升高和白细胞减少。

Objective： To explore the distribution of critical value in hospitalized psychiatric patients. Method： The results of critical value including the levels of serum potassium, calcium, creatine kinase （ CK）, blood glucose （BG） ,hemoglobin （HGB） ,white blood cell （WBC） and platelet （PLT） count in 73,092 cases or times in recent 5 years of our clinical laboratory were retrospectively analyzed. Results ：The report rate of critical value was 0.97% （709 cases or times）. In the top three critical value was hypokalemia,elevated serum CK and leucopenia;which accounted for 41.5% ,24.2% and 11.7%. Incidence of critical value of hypokalemia in females patients was significantly higher than males; incidence of critical value of elevated serum CK in males patients was significantly higher than females （ all P 〈 0. 001 ） ; incidence of critical value of leukopenia showed no statistically gender difference. Conclusion：The most common testing critical values are hypokalemia, elevated serum CK and leukopenia in hospitalized psychiatric patients.