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目的分别对危重症患者全身水肿情况、血清白蛋白(SAB)水平及其预后的情况进行研究,探讨其与危重症患者预后的关系。方法回顾性分析2010年1月至2011年8月入住郑州人民医院综合ICU病房的42例危重患者,依入住ICU24h内的水肿情况将其分为无水肿组、轻度水肿组、中度水肿组、重度水肿组。并计算其APACHEII评分,各组合并MODS例数及其病死率。结果无水肿组预后明显优于水肿组,病死率与其水肿情况呈正相关性;水肿越严重越易并发MODS。结论危重患者预后与水肿及其白蛋白情况有密切关系,可作为危重患者预后的一个判断指标,危重患者的低蛋白血症及其水肿应当引起高度重视。
Objective To study the status of systemic edema, serum albumin (SAB) and its prognosis in critically ill patients, and to explore its relationship with the prognosis of critically ill patients. Methods Forty-two critically ill patients admitted to ICU ward of Zhengzhou People’s Hospital from January 2010 to August 2011 were retrospectively analyzed. According to the edema of ICU within 24 hours, they were divided into no edema group, mild edema group, moderate edema group , Severe edema group. And calculate its APACHEII score, the number of combined MODS cases and their mortality. Results No edema was significantly better than the edema group prognosis, mortality and edema was positively correlated; more severe edema complicated by MODS. Conclusions The prognosis of critically ill patients is closely related to the edema and albumin status, which can be used as a prognostic indicator of critically ill patients. The hypoproteinemia and edema in critically ill patients should be highly valued.