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对格拉斯哥昏迷量表和损伤严重程度评分的重度颅脑外伤成人患者血液微量元素及生化指标水平的分析。

Analysis of blood trace elements and biochemical indexes levels in severe craniocerebral trauma adults with Glasgow Coma Scale and injury severity score.

作者信息

Xu Guangtao, Hu Bo, Chen Guiqian, Yu Xiaojun, Luo Jianming, Lv Junyao, Gu Jiang

机构信息

National Key Disciplines, Department of Forensic and Pathology, Shantou University Medical College, 515041, Shantou, Guangdong Province, People's Republic of China,

出版信息

Biol Trace Elem Res. 2015 Apr;164(2):192-7. doi: 10.1007/s12011-014-0225-z. Epub 2015 Jan 10.

Abstract

We aimed to investigate the correlation between the Glasgow Coma Scale (GCS), the injury severity score (ISS) and serum levels of trace elements (TE) in severe trauma patients to analyze alteration of the levels of trace elements and serum biochemical indexes in the period of admission from 126 adult cases of severe brain trauma with traffic accidents. Multi-trace elements for patients in the trauma-TE groups were used. The results indicated that all patients presented an acute trace elements deficiency syndrome (ATEDs) after severe trauma, and the correlation between ISS and serum levels of Fe, Zn, and Mg was significant. Compared to the normal control group, levels of the trace elements in serum were significantly decreased after trauma, suggesting that enhancement of immunity to infection and multiple organ failure (MOF) via the monitoring and supplement of trace elements will be a good strategy to severe traumatic patients in clinics.

摘要

我们旨在研究126例成年交通事故所致重型颅脑创伤患者入院期间格拉斯哥昏迷量表(GCS)、损伤严重程度评分(ISS)与微量元素(TE)血清水平之间的相关性,以分析微量元素水平及血清生化指标的变化。对创伤-TE组患者采用多种微量元素检测。结果表明,所有患者在严重创伤后均出现急性微量元素缺乏综合征(ATEDs),ISS与血清铁、锌、镁水平之间存在显著相关性。与正常对照组相比,创伤后血清中微量元素水平显著降低,提示通过监测和补充微量元素来增强对感染和多器官功能衰竭(MOF)的免疫力,将是临床上治疗严重创伤患者的一个良好策略。

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