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白蛋白血症

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Hypoalbuminemia and general anasarca need further investigation if renal protein loss was not found.

严重的低白蛋白血症和全身水肿却未合并有重度蛋白尿之患者,需要我们做进一步之鉴别诊断和探讨。

We report a 57-year-old female patient with suspected systemic lupus erythematosus presented with general anasarca, pleural effusions, hypercholesterolemia and severe hypoalbuminemia.

我们报告一位五十七岁之女性疑似全身性红斑性狼疮患者,其表徵为全身水肿,肋膜积水,高胆固醇血症和严重的低白蛋白血症

Results摘要: The incidence rates of renal dysfunction, shock, cardiovascular failure and gastrointestinal hemorrhage, the score of acute physiology and chronic health evaluation Ⅱ and the frequencies of pulse and breath in the severe hypoalbuminemia group were all higher than those in the mild hypoalbuminemia group (P<0.05 or P<0.01). The differences of incidence rate of hepatic failure and the scores of Ranson and Balthazar CT between these two groups had no statistical significance (P>0.05). The incidence rate of infection and the mortality in the severe hypoalbuminemia group were higher than those in the mild hypoalbuminemia group (P<0.01) in the later stage of SAP.

结果摘要:重度低白蛋白血症组肾功能衰竭、休克、心衰及消化道出血的发生率高于轻度低白蛋白血症组(P<0.01,肝功能衰竭发生率两组比较无统计学差异;Ranson评分及Balthazar CT评分两组间比较,差异无统计学意义(P>0.05);重度低白蛋白血症组的急性生理和慢性健康评价指标Ⅱ(acute physiology and chronic health evaluationⅡ, APACHEⅡ)评分、脉搏和呼吸频率均明显高于轻度低白蛋白血症组(P<0.05或P<0.01;重度低白蛋白血症组后期感染发生率及病死率均高于轻度低白蛋白血症

The differences of incidence rate of hepatic failure and the scores of Ranson and Balthazar CT between these two groups had no statistical significance (P>0.05). The incidence rate of infection and the mortality in the severe hypoalbuminemia group were higher than those in the mild hypoalbuminemia group (P<0.01) in the later stage of SAP. Conclusion: Hypoalbuminemia in the early stage can accelerate the deterioration in pathophysiology of SAP.

结果:重度低白蛋白血症组肾功能衰竭、休克、心衰及消化道出血的发生率高于轻度低白蛋白血症组(P<0.01,肝功能衰竭发生率两组比较无统计学差异;Ranson评分及Balthazar CT评分两组间比较,差异无统计学意义(P>0.05);重度低白蛋白血症组的急性生理和慢性健康评价指标Ⅱ(acute physiology and chronic health evaluationⅡ, APACHEⅡ)评分、脉搏和呼吸频率均明显高于轻度低白蛋白血症组(P<0.05或P<0.01;重度低白蛋白血症组后期感染发生率及病死率均高于轻度低白蛋白血症

Results: The incidence rates of renal dysfunction, shock, cardiovascular failure and gastrointestinal hemorrhage, the score of acute physiology and chronic health evaluation Ⅱ and the frequencies of pulse and breath in the severe hypoalbuminemia group were all higher than those in the mild hypoalbuminemia group (P<0.05 or P<0.01). The differences of incidence rate of hepatic failure and the scores of Ranson and Balthazar CT between these two groups had no statistical significance (P>0.05). The incidence rate of infection and the mortality in the severe hypoalbuminemia group were higher than those in the mild hypoalbuminemia group (P<0.01) in the later stage of SAP.

结果:重度低白蛋白血症组肾功能衰竭、休克、心衰及消化道出血的发生率高于轻度低白蛋白血症组(P<0.01,肝功能衰竭发生率两组比较无统计学差异;Ranson评分及Balthazar CT评分两组间比较,差异无统计学意义(P>0.05);重度低白蛋白血症组的急性生理和慢性健康评价指标Ⅱ(acute physiology and chronic health evaluationⅡ, APACHEⅡ)评分、脉搏和呼吸频率均明显高于轻度低白蛋白血症组(P<0.05或P<0.01;重度低白蛋白血症组后期感染发生率及病死率均高于轻度低白蛋白血症

The complications in the early stage, related parameters, and the incidence rate of infection and mortality in the later stage were evaluated respectively. Results: The incidence rates of renal dysfunction, shock, cardiovascular failure and gastrointestinal hemorrhage, the score of acute physiology and chronic health evaluation Ⅱ and the frequencies of pulse and breath in the severe hypoalbuminemia group were all higher than those in the mild hypoalbuminemia group (P<0.05 or P<0.01). The differences of incidence rate of hepatic failure and the scores of Ranson and Balthazar CT between these two groups had no statistical significance (P>0.05). The incidence rate of infection and the mortality in the severe hypoalbuminemia group were higher than those in the mild hypoalbuminemia group (P<0.01) in the later stage of SAP.

结果:重度低白蛋白血症组肾功能衰竭、休克、心衰及消化道出血的发生率高于轻度低白蛋白血症组(P<0.01,肝功能衰竭发生率两组比较无统计学差异;Ranson评分及Balthazar CT评分两组间比较,差异无统计学意义(P>0.05);重度低白蛋白血症组的急性生理和慢性健康评价指标Ⅱ(acute physiology and chronic health evaluationⅡ, APACHEⅡ)评分、脉搏和呼吸频率均明显高于轻度低白蛋白血症组(P<0.05或P<0.01;重度低白蛋白血症组后期感染发生率及病死率均高于轻度低白蛋白血症

Objective To investigate the effects of rhGH on hypoalbuminemia in cirrhotic rats after partial hepatectomy. Method.

目的 探讨重组人生长激素在治疗肝硬变大鼠肝部分切除术后低白蛋白血症中的作用。

Results The high risk factors of nosocomial infections in this group included rejection,leucocytopenia,hypoalbuninemia,cyclos porin A poisoning,hepatic dysfunction and infections of nursing family members ...

结果排斥反应、白细胞减少、低白蛋白血症、CSA中毒、肝功能受损和陪护感染为本组病例医院感染的高度危险因素(P<0.01),住院时间长、贫血、血糖高、IgG下降、病室空气污染和曾应用抗生素是医院感染的危险因素(P<0.05)。

To relieve the extent of systemic inflammatory response syndrome and abundant supplement of albumin, amino acid and lipid in time may be crucial to prevent the occurrence and deterioration of hypoalbuminemia.

减轻SAP早期的炎性反应,及时足量补充白蛋白、氨基酸及脂肪等营养物质,是防止低白蛋白血症发生和发展的关键。

To relieve the extent of systemic inflammatory response syndrome and abundant supplement of albumin, amino acid and lipid in time may be crucial to prevent the occurrence and deterioration of hypoalbuminemia.

减轻SAP早期的炎性反应,及时足量补充白蛋白、氨基酸及脂肪等营养物质,是防止低白蛋白血症发生和的关键。

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