Bodoky A, Neff U, Heberer M, Harder F
Helv Chir Acta. 1989 Jun;56(1-2):91-5.
In a randomized, prospective double blind trial evaluating antibiotic prophylaxis for internal fixation of proximal femur fractures, the prognostic value of preoperative risk parameters, namely triceps skinfold, upper arm circumference, dynamometry, serum albumin, transferrin, prealbumin, lymphocyte count and serum zinc was analyzed. A population at risk of postoperative infection could be defined with serum albumin value and lymphocyte count: a serum albumin of less than 40 g/l correlated with increased local complications and a lymphocyte count under 1400 microliters coincided with increase in systemic infections. No correlation between perioperative transfusion and postoperative infections was found.
在一项评估股骨近端骨折内固定术抗生素预防的随机、前瞻性双盲试验中，分析了术前风险参数的预后价值，即三头肌皮褶厚度、上臂围、握力、血清白蛋白、转铁蛋白、前白蛋白、淋巴细胞计数和血清锌。可以根据血清白蛋白值和淋巴细胞计数来定义有术后感染风险的人群：血清白蛋白低于40 g/l与局部并发症增加相关，淋巴细胞计数低于1400微升与全身感染增加一致。未发现围手术期输血与术后感染之间存在相关性。
