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综合临床因素对重型颅脑损伤预后预测分析 被引量:12
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作者 王桂杰 李雨 《中国急救复苏与灾害医学杂志》 2018年第2期142-144,共3页
目的证实综合临床因素在重型颅脑损伤(severetraumaticbraininjury,STBI)预后方面的预测价值。方法统计2014年3月-2016年9月呼伦贝尔市人民医院神经外科收入的72例STBI患者的临床资料,记录指标有人院最初的GCS评分、年龄、入院次晨... 目的证实综合临床因素在重型颅脑损伤(severetraumaticbraininjury,STBI)预后方面的预测价值。方法统计2014年3月-2016年9月呼伦贝尔市人民医院神经外科收入的72例STBI患者的临床资料,记录指标有人院最初的GCS评分、年龄、入院次晨空腹血糖、入院次晨白细胞计数(whitebloodcell,WBC)、白细胞介素-18(inteleukin-18,IL-18)、瞳孔情况6个预后因子。结果3个月后对患者进行GOS评价:恢复良好和轻度残疾8例,中度-重度残疾38例,植物生存状态14例,死亡12例。患者入院GCS评分、年龄、入院次晨空腹血糖、入院次晨WBC、瞳孔情况5项临床指标与STBI患者预后负相关(均P〈0.05)。IL-18检查与预后无明显相关性(P〉0.05)。结论采用多因素分析方法,综合利用临床及某些生化指标可以提高预测脑外伤患者预后的准确性。 展开更多
关键词 综合临床因素 重型颅脑损伤 预后
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骨筋膜室综合征的临床观察及护理
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作者 邓春华 《云南煤炭》 2013年第2期82-84,共3页
为了更好地提高骨筋膜室综合征患者的护理质量,及时发现,及时配合医生处理和抢救患者肢体,降低病残率的发生。及时收集患者的症状、体征及各项指标,报告医生及时做出正确判断和处理。32例患者除l例因肢体坏死、感染、全身毒血症严... 为了更好地提高骨筋膜室综合征患者的护理质量,及时发现,及时配合医生处理和抢救患者肢体,降低病残率的发生。及时收集患者的症状、体征及各项指标,报告医生及时做出正确判断和处理。32例患者除l例因肢体坏死、感染、全身毒血症严重而再次手术截肢外,其余31例患者均获良好疗效。早发现、早诊断、早治疗、周密的术前术后护理,可避免继发肢体神经肌肉的坏死,以及适时的功能锻炼是降低病残率的关键。- 展开更多
关键词 骨筋膜室综合征危险因素临床观察护理对策
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Analysis and clinical applications of metabolic syndrome risk factors for cardiovascular
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作者 Li Wu Xiaochun Zhang 《International Journal of Technology Management》 2014年第2期84-86,共3页
Metabolic syndrome had many different names, including syndrome X, insulin resistance syndrome. At present the cause of metabolic syndrome is unclear, it may come from two aspects: First, acquired, including being ov... Metabolic syndrome had many different names, including syndrome X, insulin resistance syndrome. At present the cause of metabolic syndrome is unclear, it may come from two aspects: First, acquired, including being overweight or obese, reduced physical activity and excessive carbohydrate diet; Second, genetic factors, involving multiple genes, not yet fully elucidated. The syndrome is generally believed to be the collection of a variety of cardiovascular risk factors caused by poor lifestyle under the genetic background, including hypertension, dyslipidemia, abdominal obesity, hyperinsulinemia, microalbuminuria, hypercoagulable state, hyperhomocysteinemia and so on. Hyperinsulinemia and insulin resistance is the central link, which is closely related to dyslipidemia, impaired glucose tolerance, and abdominal obesity. Metabolic syndrome may eventually lead to atherosclerosis: coronary artery disease, myocardial infarction, stroke, peripheral vascular disease and endothelial dysfunction. In 1999, the working definition of World Health Organization (WHO) to the metabolic syndrome is: glucose regulation impairment or diabetes, and / or insulin resistance, accompanied by the other two items or more ingredients, such as hypertension, high triglycerides esters hyperlipidemia and / or low HDL cholesterol, central obesity or microalbuminuria. 展开更多
关键词 Metabolic syndrome CLINICAL risk factors CARDIOVASCULAR
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