Hedström M, Gröndal L, Ortquist A, Dalén N, Ahl T
Karolinska Institute, Department of Orthopedics, Danderyd Hospital, Sweden.
Int Orthop. 1998;22(3):182-4. doi: 10.1007/s002640050237.
Four hundred and thirty-seven patients with femoral neck fractures were studied to determine the value of serum albumin estimations on admission. Serum albumin is a good predictor of mortality, and patients with low levels should be given additional nutritional support. We found that the serum albumin level is not useful in predicting deep wound infection. The infection rate of 3% does not justify the use of antibiotic prophylaxis in general.
对437例股骨颈骨折患者进行了研究，以确定入院时血清白蛋白测定的价值。血清白蛋白是死亡率的良好预测指标，白蛋白水平低的患者应给予额外的营养支持。我们发现血清白蛋白水平在预测深部伤口感染方面并无用处。3%的感染率总体上并不足以证明使用抗生素预防是合理的。
