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影响重症烧伤休克预后的危险因素探讨
引用本文:彭涛,黄晓元,龙剑虹湘.影响重症烧伤休克预后的危险因素探讨[J].中国临床实用医学,2009,3(8):84-85.
作者姓名:彭涛  黄晓元  龙剑虹湘
作者单位:1. 湖南省新化县人民医院,417600
2. 湘雅医院烧伤整形科
3. 雅医院烧伤整形科
摘    要:目的探讨重症烧伤休克患者预后的危险因素,为重症烧伤休克患者的诊治提供参考。方法对40例重症烧伤休克患者的临床资料进行回顾性分析,对预后相关因素进行Logistic回归分析,筛选重症烧伤休克危险因素。结果肠道黏膜表面的pH(pHi)值、尿溶菌酶、瘤坏死因子(TNF—α)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、一氧化氮(NO)、血钠、血清白蛋白等8个危险因素与重症烧伤休克预后的发生有关。结论pHi、尿溶菌酶、TNF—α、IL-6、IL-8、NO、血钠、血清白蛋白是重症烧伤休克预后的危险因素,采取积极措施防治以上危险因素的发生,以减少重症烧伤的死亡率是十分重要而迫切的。

关 键 词:重症烧伤休克  危险因素  预后

The clinical analysis about the dilatation for the stoma narrow after operation of carcinoma of esophago cardia
LIN Huan-xiong,CAI Wen.The clinical analysis about the dilatation for the stoma narrow after operation of carcinoma of esophago cardia[J].China Clinical Practical Medicine,2009,3(8):84-85.
Authors:LIN Huan-xiong  CAI Wen
Abstract:Objective The author summarizes the clinical curative effect about the dilatation for the stoma narrow after operation of carcinoma of esophago cardia. Methods 242 patients included were expanded with Savary-Gilliard dilator. Results 647 expanding therapies were made, average 2.67 times per patient. The effective rate is 99.1%,the recovery rate is 87.6%. Conclusion The dilatation using Savary-Gilliard dilator is one of the safe, convenient, effective methods in the treatment of stoma narrow after operation of carcinoma of esophago cardia.
Keywords:Esophageal carcinomaCarcinoma of gastric cardiaStoma narrowDilatation
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