凝血检验危急值用于重症新生儿病情预测的价值分析

摘要

目的：分析凝血检验危急值用于重症新生儿病情预测价值。方法回顾性分析2008年1月～2013年1月我院收治的478例重症新生儿凝血检验结果及凝血功能。结果478例重症新生儿中，凝血检验危急值49例，占10.3%。Fg低值28例：肺炎12例，呼吸窘迫综合征7例，脓毒血症5例，胎粪吸入综合征2例，高胆红素血症2例；APTT高值8例：脓毒血症6例，窒息2例；PT高值7例：呼吸窘迫综合征5例，维生素K缺乏症2例；Fg低值合并APTT高值2例：窒息；Fg低值合并PT高值3例：脓毒血症；APTT高值合并PT高值1例：呼吸衰竭。结论凝血检验危急值用于重症新生儿病情预测结果可靠，可以及时跟踪病情变化，降低死亡率，因此，值得临床推广和应用。%Objective To analyze the predictive value of coagulation test critical values for severe neonatal. Methods The coagulation test results and coagulation function of 478 cases of severe neonatal from January 2008 to January 2013 in our hospital were retrospectively analyzed. Results Among 478 cases of severe neonatal, coagulation test critical values of 49 cases, accounted for 10.3%. The low Fg value in 28 cases:12 cases of pneumonia, 7 cases of respiratory distress syndrome, 5 cases of sepsis, 2 cases of meconium aspiration syndrome, 2 cases of hyper bilirubinemia; The high APTT value in 8 cases: 6 cases of sepsis, 2 cases of asphyxia; The high PT values in 7 cases:5 cases of respiratory distress syndrome, 2 cases of vitamin K deficiency;The low Fg value and the high APTT value in 2 cases:asphyxia;The low Fg value with high PT value in 3 cases:sepsis; The high APTT value with high PT value in 1 case:respiratory failure. Conclusion Coagulation test critical values for predicting severe neonatal are reliable, and it can timely track the changes of disease condition, reduce the mortality rate, so,it is worthy of clinical promotion and application.