【摘要】 目的探查尿蛋白定量在脂肪栓塞综合征(FES)早期诊断及预后作用。方法对所选病例骨折后6h之内取新鲜尿行蛋白定量测试,并持续监测。结果FES组中尿蛋白定量阳性显著大于对照组;随定量指标增高,疾病严重程度加重;预后差异显著。结论尿蛋白阳性可作为一项FES诊断参考标准;以30mg/dL为阳性标准,提示存在FES,高之及持续存在则预后欠佳;以10~20mg/dL作为一项筛选指标;并可连续监测,以其峰值曲线变化作为治疗效果评价标准。更多还原

【Abstract】 Objective The use of urine protein measurement in early diagnosis and prognosis of Fat Embolism Syndrome(FES)was studied. Methods The measurement of urine protein was perfomed with in 6hours after fractures on the selected patients and it repeated when necessary. Results Urine protein positive rate in FES group signifi cantly .And with the concentration increasing, the symptoms may be more severe,and prognosis may be worse. Conclusions Urine protein test can be a reference of the diagnostic standard in FES .The concentration which was more than 30 mg/dl was taken as a positive standard The patients whose urine protein test had a positive result highly probably had a FES.更多还原