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目的:探讨特重度烧伤合并血小板减少的原因和临床特点。方法:回顾性分析2000年1月至2014年12月本院176例特重度烧伤合并血小板减少患者的临床资料。根据伤后血小板计数水平将患者分为A组(68例)、B组(56例)、C组(52例),比较各组患者烧伤面积、烧伤指数、异常出血发生率、脏器并发症发生率及病死率有无差异。结果:A组与B组烧伤面积无明显差异,B组与C组烧伤面积、A组与C组的烧伤面积经比较差异具有统计学意义(P<0.05),而烧伤指数各组两两比较差异均有统计学意义(P<0.05)。各组的异常出血并发症差异无统计学意义(P>0.05),而脏器并发症及死亡率差异有统计学意义(P<0.05)。结论:血小板减少程度与烧伤指数有关,能够反映烧伤病情的严重程度,对其预后有一定参考价值。
Objective: To investigate the causes and clinical features of severe burn combined with thrombocytopenia. Methods: The clinical data of 176 patients with severe severe burn combined with thrombocytopenia from January 2000 to December 2014 in our hospital were retrospectively analyzed. The patients were divided into group A (n = 68), group B (n = 56) and group C (n = 52) according to the platelet count. The burn area, burn index, abnormal bleeding, No difference in incidence and mortality. Results: There was no significant difference in burns area between group A and group B. Burns area of group B and C, burn area of group A and group C were significantly different (P <0.05) The differences were statistically significant (P <0.05). There was no significant difference in the complications of abnormal bleeding in each group (P> 0.05), but there was significant difference in the complications and mortality of organs (P <0.05). Conclusion: The degree of thrombocytopenia is related to the burn index, which can reflect the severity of burn disease and has certain reference value for its prognosis.