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烧伤血清肌红蛋白动态监测中次高峰的意义

The Significance of the Dynamic Monitoring Second Peak of Serum Myoglobin in Severely Burned Patients

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【作者】 李芳马福广刘锡麟夏克勤何丽珍

【Author】 Li Fang; Ma Fu guang; xia Keqin; et al(Guangzhou Red Cross Hospital,Guangzhou 510224)

【机构】 广州市红十字会医院

【摘要】 严重烧伤皿清肌红蛋白动态监测曲线,对创面感染和病情恶化有预警意义的回升高值,命名为次高峰。次高峰对严重并发症存在与否的诊断指标是:+Pv=87.5%。-Pv=100%,Se=100%,Sp=97.1%,Ac=97.6%。井推算出漏诊率是0%,误诊率是2.9%,诊断指数197.1%。证明血清肌红蛋白试验达到临床诊断对生化试验的要求水平。

【Abstract】 During dymamic monitoring of serum myoglobin in severely burned pa-tients,the second top value in the monitoring process,which played a important roleof predicting wound infection and condition deterioration,was supposed to be named asvice-peak.Its criterion is that the concentration differenee(△X)between the second topvalue and the trough value is more than 1.96 times of standard differenee(△X > 1.96s).Diagnostic standards of Viee-peak to judge whether the severe complication will occurare:+PV=87.5%,一pV=100%,Se=100%,Sp=97.6%。It is verified that serum my-oglobin test has reached the level of biochemistry test what the clinical diagnosis asks for.

【关键词】 烧伤肌红蛋白动态监测
【Key words】 burnmyoglobindynamic monitoring.
  • 【分类号】R644
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