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血小板/淋巴细胞比值与急性一氧化碳中毒患者心肌损伤的关系

杨俊礼 韩永燕 王岩 赵国强 王岚 王维展

广西医学2017,Vol.39Issue(12):1844-1846,3.
广西医学2017,Vol.39Issue(12):1844-1846,3.DOI:10.11675/j.issn.0253-4304.2017.12.22

血小板/淋巴细胞比值与急性一氧化碳中毒患者心肌损伤的关系

Relationship between platelet-to-lymphocyte ratio and myocardial injury in patients with acute carbon monoxide poisoning

杨俊礼 1韩永燕 1王岩 1赵国强 2王岚 1王维展1

作者信息

  • 1. 河北省衡水市哈励逊国际和平医院急救医学部,衡水市053000
  • 2. 河北省衡水市第二人民医院内科,衡水市053000
  • 折叠

摘要

Abstract

Objective To investigate the relationship between platelet-to-lymphocyte ratio (PLR) and myocardial injury in patients with acute carbon monoxide poisoning(ACOP).Methods The clinical data of 211 patients with ACOP were retrospectively analyzed.All subjects were divided into non-myocardial injury group(n =128) and myocardial injury group(n =83) according to their troponin-Ⅰ levels.The general clinical data,PLR and cardiac enzymes were compared between the two groups.Logistic regression analysis was used to analyze the risk factors for myocardial injury in patients with ACOP.The receiver operating characteristic (ROC) curve was used to evaluate the predictive efficiency of PLR on admission for myocardial injury in patients with ACOP.Results Elevated PLR and WBC counts,and male were the risk factors for myocardial injury in patients with ACOP (P < 0.05).The sensitivity,specificity and the area under curve were 88.0%,43.0% and 0.747 respectively when the diagnostic cut-off value of PLR on admission for myocardial injury in patients with ACOP was 4.70.Conclusion The patients with ACOP might be at a higher risk of myocardial injury when PLR on admission increases,and this index is valuable for predicting myocardium injury to a certain.

关键词

一氧化碳中毒/心肌损伤/血小板/淋巴细胞/比值

Key words

Acute carbon monoxide poisoning/Myocardial injury/Platelet/Lymphocyte/Ratio

分类

医药卫生

引用本文复制引用

杨俊礼,韩永燕,王岩,赵国强,王岚,王维展..血小板/淋巴细胞比值与急性一氧化碳中毒患者心肌损伤的关系[J].广西医学,2017,39(12):1844-1846,3.

基金项目

河北省医学科学研究重点课题(20170234) (20170234)

广西医学

OACSTPCD

0253-4304

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