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低钙血症对多发伤患者预后的影响。

Influence of hypocalcemia on the prognosis of patients with multiple trauma.

作者信息

Wang Jia, Li Dong-Feng, Sun Zhen-Kang, Yang Dong-Qiang, Li Hao

机构信息

Intensive Care Unit, Fuyang People's Hospital, Fuyang 236000, Anhui Province, China.

出版信息

World J Clin Cases. 2024 Jul 6;12(19):3800-3806. doi: 10.12998/wjcc.v12.i19.3800.

Abstract

BACKGROUND

Hypocalcemia is highly common in hospitalized patients, especially in those with trauma, On the other hand, abnormal calcium metabolism is an important metabolic challenge; however, it is often neglected and untreated, and certain factors may induce serious neurological and cardiovascular complications.

AIM

To retrospectively analyze the impact of hypocalcemia on the prognosis of patients with multiple traumas.

METHODS

The study was conducted from January 2020 to December 2021. Ninety-nine patients with multiple injuries were treated at the critical care medicine department of Fuyang People's Hospital. The selected indicators included sex, age, and blood calcium and hematocrit levels. Many indicators were observed, including within 24 h of hospitalization, and the prognosis was collected after 28 d. Based on the blood calcium levels, the patients were divided into the following two groups: Normocalcemia and hypocalcemia. Of the 99 patients included, 81 had normocalcemia, and 18 had hypocalcemia. Separate experiments were conducted for these two groups.

RESULTS

There was an association between serum calcium levels and the prognosis of patients with polytrauma.

CONCLUSION

Clinically, the prognosis of patients with multiple traumas can be preliminarily evaluated based on serum calcium levels.

摘要

背景

低钙血症在住院患者中非常常见,尤其是在创伤患者中。另一方面,钙代谢异常是一项重要的代谢挑战;然而,它常常被忽视且未得到治疗,某些因素可能诱发严重的神经和心血管并发症。

目的

回顾性分析低钙血症对多发伤患者预后的影响。

方法

研究于2020年1月至2021年12月进行。阜阳市人民医院重症医学科收治了99例多发伤患者。所选指标包括性别、年龄、血钙和血细胞比容水平。观察了许多指标,包括住院24小时内的指标,并在28天后收集预后情况。根据血钙水平,将患者分为以下两组:血钙正常组和低钙血症组。99例纳入患者中,81例血钙正常,18例为低钙血症。对这两组分别进行实验。

结果

血清钙水平与多发伤患者的预后之间存在关联。

结论

临床上,可根据血清钙水平对多发伤患者的预后进行初步评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/463e/11235458/29d6c53e83db/WJCC-12-3800-g001.jpg

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