Farkas Joshua David
Division of Pulmonary and Critical Care Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA.
J Thorac Dis. 2020 Feb;12(Suppl 1):S16-S21. doi: 10.21037/jtd.2019.12.63.
The complete blood count has a longstanding role in the diagnosis of septic shock. Despite its limitations, this is a pragmatic tool because patients will generally have a blood count measured upon presentation to the hospital. Therefore, it is sensible to extract as much information from these values as possible. Although the white blood cell count continues to attract the most attention, it is the least useful. Emerging evidence suggests that emphasis should be shifted to the neutrophil to lymphocyte ratio (NLR) and perhaps the fraction of immune granulocytes.
全血细胞计数在脓毒性休克的诊断中一直发挥着作用。尽管存在局限性，但这仍是一种实用的工具，因为患者入院时通常会进行血常规检查。因此，尽可能从这些数值中提取更多信息是明智的。虽然白细胞计数仍然最受关注，但它却是最无用的。新出现的证据表明，应将重点转移到中性粒细胞与淋巴细胞比值（NLR），或许还有免疫粒细胞比例上。
