LAC與下腔靜脈直徑在創(chuàng)傷性休克患者早期診斷中有效性分析

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【摘 要】目的：探討LAC與IVC在創(chuàng)傷性休克患者早期診斷有效性分析。方法：前瞻性隊列研究2019年9月—2020年12月于石河子大學第一附屬醫(yī)院就診的創(chuàng)傷性休克患者88例。根據(jù)治療后是否休克，分為穩(wěn)定組（S組）和不穩(wěn)定組（NS組）。采用受試者工作特征曲線及曲線下面積判斷各指標的預測意義。結果：治療前，兩組LAC差異無統(tǒng)計學意義（P>0.05）；NS組RVI大于S組，IVCmax、IVCmin小于S組，差異有統(tǒng)計學意義（P

【關鍵詞】創(chuàng)傷性休克；下腔靜脈直徑；乳酸；呼吸變異指數(shù)

Effectiveness of LAC and inferior Vena cava diameter in early diagnosis of traumatic shock

CHEN Fanfan1， TAO Siqi1， LI Yajun1， OU Yangjun2

1.Shihezi University， Shihezi Xinjiang 832000， China；2.Emergency Department， First Affiliated Hospital， Shihezi University， Shihezi Xinjiang 832000， China

【Abstract】Objective：To evaluate the efficacy of LAC and IVC in the early diagnosis of traumatic shock. Methods：A prospective cohort study was conducted in 88 patients with traumatic shock from September 2019 to December 2020 in the First Affiliated Hospital of Shihezi University.According to whether there was shock after treatment， they were divided into stable group （S group） and Unstable Group （NS group） . The subject’s working characteristic curve and the area under the curve were used to judge the predictive significance of each index. Results：There was no significant difference in LAC between the two groups before treatment（P>0.05）； RVI of NS group was larger than that ofS group， and IVCmax and IVCmin were smaller than those of Sgroup（P

【Key？Words】Traumatic shock； Inferior Vena Cava diameter； Lactic acid；Respiratory variability index

創(chuàng)傷會對機體造成不同程度的損害，創(chuàng)傷性休克是其早期常見的并發(fā)癥，且是導致創(chuàng)傷患者早期死亡的主要原因之一[1]。（剩余3235字）