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目的探讨腹部创伤患者发生感染与预后及与全身炎症反应综合征(SIRS)评分、血清C-反应蛋白(CRP)及降钙素原(PCT)的相关性,为腹部创伤后感染的诊断及预后预测提供参考。方法选取2014年1月-2016年6月期间在医院诊治的腹部外伤患者200例,在入院时行SIRS评分及检测血清CRP及PCT,综合干预治疗,观察创伤后感染及预后。结果 200例患者发生创伤后感染者42例,感染率为21.00%;创伤后感染患者SIRS评分、血清CRP及PCT高于无感染患者;Spearman相关分析显示创伤后感染率、病死率、SIRS评分、CRP、PCT等指标间两两比较均有正相关性(P<0.05)。结论腹部创伤患者创伤后感染率及病死率高,SIRS评分、血清CRP及PCT升高患者创伤后感染及病死风险性显著增高,以上指标对创伤后感染及预后预测有一定参考价值。
Objective To investigate the correlation between infection and prognosis of patients with traumatic abdominal trauma and systemic inflammatory response syndrome (SIRS), serum C-reactive protein (CRP) and procalcitonin (PCT), to evaluate the diagnosis and prognosis of posttraumatic infection Forecast for reference. Methods Totally 200 abdominal trauma patients diagnosed and treated in the hospital from January 2014 to June 2016 were selected. SIRS score, serum CRP and PCT were detected at admission. The post-traumatic infection and prognosis were observed by comprehensive intervention. Results Among the 200 cases, 42 cases were infected with trauma, the infection rate was 21.00%. The SIRS score, serum CRP and PCT in patients with post-traumatic infection were higher than those without infection. Spearman correlation analysis showed that posttraumatic infection rate, mortality, SIRS score, CRP, PCT and other indicators between the two have a positive correlation (P <0.05). Conclusion The traumatic infection rate and mortality of patients with traumatic abdominal trauma are high. SIRS score, serum CRP and PCT increased in patients with posttraumatic infection and the risk of death significantly increased. The above indexes have certain reference value for post-traumatic infection and prognosis.