重症感染合并血小板减少症的影响因素及其相关性分析

发布时间：2018-01-12 21:37

本文关键词：重症感染合并血小板减少症的影响因素及其相关性分析　出处：《重庆医学》2016年01期 　论文类型：期刊论文

【摘要】：目的探讨ICU危重感染患者并发血小板减少症的影响因素,为临床防治和对患者预后的判断提供参考依据。方法回顾性分析2014年5月至2014年12月收住该院重症医学科的76例重症感染患者(男39例,女37例)的资料。以并发血小板减少症为A组(40例),无血小板减少症为B组(36例),考察重症感染患者并发血小板减少症的影响因素及预后差异。结果患者年龄、白细胞计数、中性粒细胞比例、革兰阴性菌感染、呼吸系统感染与重症感染患者并发血小板减少症具有相关性(P0.05),两组患者ICU停留时间和病死率差异有统计学意义(P0.05)。结论临床需重视对危重感染患者的血小板计数监测,对年龄大、因呼吸系统感染尤其合并有革兰阴性菌感染的患者,应重点干预和及时发现问题予以防治以改善其不良预后。
[Abstract]:Objective to investigate the influencing factors of thrombocytopenia in ICU patients with severe infection. Methods from May 2014 to December 2014, 76 patients (39 males) with severe infection in our hospital were retrospectively analyzed. In group A, 40 cases were complicated with thrombocytopenia and 36 cases were without thrombocytopenia. Results Age, white blood cell count, neutrophil ratio, Gram-negative bacteria infection were investigated in patients with severe infection and complicated with thrombocytopenia. Respiratory system infection was associated with thrombocytopenia in patients with severe infection (P 0.05). The difference of ICU residence time and mortality between the two groups was statistically significant (P0.050.Conclusion We should pay more attention to the monitoring of platelet count in patients with critical infection in clinical practice. Patients with respiratory system infection, especially those complicated with Gram-negative bacteria infection, should focus on intervention and timely prevention and treatment to improve their poor prognosis.
【作者单位】：遵义医学院附属医院重症医学科;
【基金】：贵州省科学技术基金资助(黔科合J字[2009]2186号)
【分类号】：R459.7;R558.2
【正文快照】： 危重感染患者发生血小板降低在临床上比较多见。根据相关报道,其发生率在19%~63%[1-3]。通常认为如有血小板计数呈进行性下降,尤其当小于或等于20×109/L,预示着病情严重[4]。目前对重症患者发生血小板减少的病因尚未有统一的认识[1]。本研究对2014年5月至2014年12月收住本院

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