Clinical value of C-reactive protein and serum lactate to the prognosis of acute abdomen in elderly patients
10.3969/j.issn.1671-8348.2015.18.013
- VernacularTitle:C反应蛋白与血清乳酸判断老年患者危重急腹症感染预后的临床意义
- Author:
Yangfeng HUANG
;
Wei JIANG
;
Jie ZENG
- Publication Type:Journal Article
- Keywords:
abdomen acute;
C-reactive protein;
lactic acid;
prognosis
- From:
Chongqing Medicine
2015;(18):2485-2487
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical value of CRP and LAC in the evaluating of diagnosis and the prognosis of se‐vere acute abdomen diseases in the elderly patients .Methods Experimental group:The blood of 92 elderly patients diagnosed with critical abdomen mass with infection and followed by surgery were collected .Then ,extracted serum was used to measure the levels of CRP and LAC ,and these patients were divided into 4 groups on base of the degree of infection:SIRS group ,sepsis group ,serve sepsis group and septic shock group .Control group:92 serums of healthy persons were selected to measure the levels of CRP and LAC .Results The CRP and LAC significantly increased in the experimental group ,when compared with the control group(P<0 .05) .The level of LAC raised with the increase severity of sepsis(P<0 .05) among groups of sepsis ,serve sepsis and sepsis with shock ,but the level of CRP had no statistical difference(P>0 .05) .Conclusion Both CRP and LAC of elderly patients diagnosed with critical abdomen mass with infection have important referential meaning .Furthermore ,the CRP has better predictability in the early stage of abdomen mass with infection .However ,to predict the severity of infection level ,LAC seems more sensitive .
