摘要
本文对51例烧伤患者血清补体C_3、C_4值进行了动态观察,发现烧伤后3天内C_3、C_4值下降最为显著(P<0.01),并随病程延长,逐渐回升,至第21天达到或超过正常值。烧伤早期c_3、C_4值的下降幅度,中大面积(≥30%)组明显大于小面积组。伤后血清与水泡液中C_3值基本一致(P>0.05)。进行了败血症与非败血症、败血症前与败血症后、死亡组与存活组_3、C_4均值对应比较。认为补体C_3、C_4值的动态观察对病情判断及预后的估计有一定参考意义。
Serum C3 and C4 were measured in 51 burn patients, in whom the value of C3 and C4 was lowest (P is less than 0.01) on the third day, The C3 and C4 values gradually increased over normal until the 21th day after the burn occurred. The range of C3 and C4 values was lower in patients with less than 30% of total body surface involved than in those with greater than 30% of total body surface involved during the early period It was noted that the level of C3 in serum after a burn was the same as the C3 velue in blister fluid (P is greater than 0.05). The C3 and C4 values in septic and non-septic patients, in the preseptic and septic periods, and in patients who survived and did not survive were collected and compared.The authors conclude that the observation of C3 and C4 levels is of great value in the treatment of burn patients both from a diagnostic and prognostic point of view.
出处
《北京医学》
CAS
北大核心
1989年第3期136-139,共4页
Beijing Medical Journal