摘要
对３２例危重患者进行了胃粘膜ｐＨ值（ｐＨｉ）测定，并同时予ＡＰＡＣＨＥⅡ评分。结果：死亡组入ＩＣＵ时的ｐＨｉ显著低于存活组，而ＡＰＡＣＨＥⅡ评分无差异。１２小时后的ｐＨｉ仍显著低于存活组，而ＡＰＡＣＨＥⅡ评分则高于存活组；动脉血氧分压（ＰａＯ２）较存活组低；而动脉血ｐＨ（ｐＨａ）则始终无明显差异。ＡＰＡＣＨＥⅡ评分在有无脓毒血症者间无明显差异，而ｐＨｉ则相差显著。另外，ＡＰＡＣＨＥⅡ评分与多系统脏器功能衰竭的脏器衰竭数呈显著相关，而ｐＨｉ值则未见明显差异。结果表明：测定胃粘膜ｐＨ值对危重患者有重要的预警意义。
astric intramucosal PH (PHi) was measured in 32 critically ill patients,and the APACH Ⅱ score was 1ower statistically in the dead group than that in the alive group.PHi was also lower significantly in the septic group,but the APACH Ⅱ score was not found to have any difference.There was a significant correlation between the APACHⅡ scoring and the number of multiple system organ failure.We conclude that the gastric intramucosal PH may be a useful prognostic index in critically ill patients.
出处
《中国危重病急救医学》
CAS
CSCD
1996年第1期28-29,共2页
Chinese Critical Care Medicine
