摘要
目的:探讨目测法与血红蛋白检测法对隐匿性活动性失血的鉴别及失血量的评估价值。方法:选择2021年1月至2022年6月我院收治的80例疑似隐匿性活动性失血患者为研究对象。所有患者入院后均分别采用目测法与血红蛋白检测法鉴别。以X线血管造影结果为准,统计两种检测方法对隐匿性活动性失血鉴别结果的一致性。比较两种检测方法对隐匿性活动性失血量检测结果的差异。结果:80例疑似隐匿性活动性失血患者经X线血管造影检测后72例确诊。以X线血管造影诊断结果为准,目测法检出真阳性34例,假阳性5例,真阴性3例,假阴性38例;血红蛋白检测法检出真阳性69例,假阳性1例,真阴性7例,假阴性3例。Kappa检验分析结果显示,目测法鉴别结果与X线血管造影的一致性较差(Kappa值=0.252,P>0.05);血红蛋白检测法鉴别结果与X线血管造影的一致性较好(Kappa值=0.839,P<0.05)。血红蛋白检测法检出隐匿性、活动性失血量高于目测法(P<0.05)。结论:相较于目测法,与血红蛋白检测法对隐匿性活动性失血的鉴别价值较好,与X线造影鉴别结果的一致性较高;血红蛋白检测法能检出更为准确的隐匿性活动性失血量,为后续治疗方案的及早制定与改善提供数据参考。
Objective:To explore the value of visual detection and hemoglobin detection in the identification of occult active blood loss and the evaluation of blood loss.Methods:80 patients with suspected occult active blood loss admitted to our hospital from January 2021 to June 2022 were selected as subjects.All patients were identified by visual and hemoglobin detection after admission.Based on the results of X-ray angiography,the consistency of the two detection methods in the identification of occult active blood loss was calculated.The results of occult active blood loss were compared between the two methods.Results:In 80 patients with suspected occult active blood loss,72 cases were confirmed by X-ray angiography.According to the diagnosis result of X-ray angiography,34 cases were true positive,5 cases were false positive,3 cases were true negative and 38 cases were false negative.The hemoglobin detection method detected 69 true positive cases,1 false positive cases,7 true negative cases,3 false negative cases.Analysis results of Kappa test showed that the consistency between visual identification and X-ray angiography was poor(Kappa value=0.252,P>0.05).The results of hemoglobin detection were in good agreement with X-ray angiography(Kappa value=0.839,P<0.05).The latent and active blood loss was higher by hemoglobin detection than by visual detection(P<0.05).Conclusion:Compared with visual method,hemoglobin detection method has better value in the identification of latent active blood loss,and has higher consistency with X-ray detection results.Hemoglobin detection method can detect more accurate latent active blood loss,and provide data reference for the early formulation and improvement of follow-up treatment.
作者
莫其斌
李红
侯玉婷
Mo Qibin(Department of Orthopedics,Fengkai Hospital of Traditional Chinese Medicine,Zhaoqing Guangdong 526500)
出处
《黑龙江医药》
CAS
2023年第1期41-44,共4页
Heilongjiang Medicine journal
基金
肇庆市科技创新指导类项目(项目编号:44011120211853K)。
关键词
目测法
血红蛋白检测法
隐匿性活动性失血
失血量
鉴别价值
Visual Method
Hemoglobin Detection Method
Occult Active Blood Loss
Blood Loss
Value of Identification
