检验医学与临床2017，Vol.14Issue(16)：2385-2387,3.DOI:10.3969/j.issn.1672-9455.2017.16.019
急性肺栓塞患者血清钠水平波动与临床预后的相关性研究
The correlation analysis between fluctuation of serum sodium and prognosis in patients with acute pulmonary embolism
杨红梅 1胡了凡 1练筱园 2何荟1
作者信息
- 1. 四川省巴中市中心医院重症医学科 636000
- 2. 四川省华西医院ICU,成都 610000
- 折叠
摘要
Abstract
Objective To investigate the correlation between fluctuation of serum sodium and prognosis in patients with acute pulmonary embolism(APE).Methods Sixty four APE patients in Bazhong Central Hospital were enrolled in this study and divided into two group:survival group(n=42) and death group(n=22) based on clinical prognosis.The level of serum sodium were analyzed before treatment and days after admission in third,seventh,the relationship between fluctuation of serum sodium and prognosis of patients was analyzed.Results The level of serum sodium in death group were significantly lower than those in survival group(P<0.05).ROC analysis showed that the level of Δsodium and Qanadli index had a predictive value for mortality.The levels of secrum sodium of Δ1(3 d after treatment-before treatment),Δ2(7 d after treatment-before treatment)and Δ3(7 d after treatment-3 d after treatment) were positively associated to death(P<0.05).The levels of secrum sodium ofΔ2 and Δ3 were positively associated with Qanadli index(P<0.05).Qanadi mdex and Δ3 were the independent risk factor for death occurred in patients with APE(OR=1.28,95%CI 0.92-1.48,P<0.05;OR=1.28,95%CI 0.99-1.75,P<0.05).Conclusion The fluctuation of secrum sodium has certain prediction value and relevance for death in patients with APE.关键词
血清钠/急性肺栓塞/预后Key words
secrum sodium/acute pulmonary embolism/prognosis分类
马克思主义、列宁主义、毛泽东思想、邓小平理论引用本文复制引用
杨红梅,胡了凡,练筱园,何荟..急性肺栓塞患者血清钠水平波动与临床预后的相关性研究[J].检验医学与临床,2017,14(16):2385-2387,3.
