摘要
严重烧伤血小板（ＰＬＴ）计数下降的临床意义仍不甚明确。作者通过５年中住院治疗的死亡病例１６例进行临床病例对照研究，发现死亡组和存活组早期ＰＬＴ计数和休克累计时间差异非常显著（Ｐ＜０．０１）。单因素分析：当ＰＬＴ均值＜６０×１０９／Ｌ时，死亡的相对危险度（ＯＲ）为１２，当休克累计时间＞８ｈ，ＯＲ值＞２０。剔除休克累计时间＞８ｈ组后分层分析ＰＬＴ＜６０×１０９／Ｌ，ＯＲ值为８（Ｐ＜０．０１）。提示严重烧伤早期ＰＬＴ显著降低和严重休克是影响其预后的两个重要因素，两者有协同作用。
The clinicul significence of the platelet count decrease in serious burns is still not clear.We reviewed 16 cases died of serious burns,and found that in nonsurvial group the platelet count decrease in early stage and shock time was statistically significantly different from the survival group( P <0 01) .Single factor analysis showed that the OR was 12 when the mean value of platelet count was less than 60×10 9/L.The OR was more than 20 when the shock time was longer than 8h( P <0 01).Stratified analysis showed that the OR was 8 when the mean value of platelete count was less than 60×10 9/L ( P <0 01).This study suggested that the significant decreas of the platelet count and serious shock were two important risk factors affecting prognosis,and these two factors were coordinating.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1997年第1期30-32,共3页
Medical Journal of Chinese People's Liberation Army
