|本期目录/Table of Contents|

[1]朱冠能,汪 洋,宋海苗,等.血清铁蛋白及C反应蛋白水平对胸部创伤后急性肺损伤的预测意义[J].中华肺部疾病杂志,2022,(03):379-381.[doi:10.3877/cma.j.issn.1674-6902.2022.03.023]
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血清铁蛋白及C反应蛋白水平对胸部创伤后急性肺损伤的预测意义(PDF)

《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2022年03期
页码:
379-381
栏目:
临床研究
出版日期:
2022-06-20

文章信息/Info

Title:
-
作者:
朱冠能; 汪 洋; 宋海苗; 汪骏东
245000 安徽,黄山市人民医院急诊科
Author(s):
-
关键词:
铁蛋白;  C反应蛋白;  胸部创伤;  急性肺损伤
Keywords:
-
分类号:
R563
DOI:
10.3877/cma.j.issn.1674-6902.2022.03.023
摘要:
目的 分析血清铁蛋白(SF)联合C反应蛋白(CRP)水平预测胸部创伤后急性肺损伤的价值。方法 选取2019年6月至2021年6月我院收治的65例胸部创伤患者,随访7 d,根据发生肺损伤的严重程度分为重度组和轻度组。采用Logistic回归分析影响胸部创伤患者发生重度肺损伤的危险因素。结果 65例胸部创伤患者中24例发生重度肺损伤,发生率为36.92%。重度组患者合并慢性阻塞性肺疾病白细胞计数、SF、CRP水平高于轻度组(P<0.05); Logistic多因素回归分析果显示合并慢性阻塞性肺疾病、SF、CRP水平是影响胸部创伤患者发生重度肺损伤的危险因素(P<0.05); ROC显示,血清SF,CRP水平预测胸部创伤后重度肺损伤的最佳截断点分别为896.79 μg/L和20.21 mg/L,灵敏度分别为75.00%和82.93%,特异度分别为70.83%和68.29%,曲线下面积(AUC)分别为0.812和0.769,二者联合的特异度和AUC分别为97.56%和0.894。结论 胸部创伤后重度肺损伤患者SF、CRP水平升高,二者联合可作为预测胸部创伤后急性肺损伤的敏感指标。
Abstract:
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备注/Memo

备注/Memo:
基金项目: 安徽省自然科学基金(1808085MH305)
通信作者: 朱冠能, Email: zhuguanneng@163.com
更新日期/Last Update: 2022-06-20