心肺复苏后患者外周血白细胞、血小板计数、超敏C-反应蛋白动态变化及意义分析

摘要

目的 探讨心肺复苏后患者外周血白细胞、血小板计数、超敏C-反应蛋白(hs-CRP)动态变化及其临床意义.方法 将48例心肺复苏后患者按预后分为死亡组(心肺复苏后7d内死亡者)和存活组(心肺复苏后生存＞7d者).检测各组外周血白细胞计数、血小板计数、hs-CRP,两组间进行比较.结果 死亡组外周血白细胞数、hs-CRP均高于存活组(P＜0.01),血小板数显著减少(P＜0.05).结论 外周血白细胞数、血小板计数变化、hs-CRP与心肺复苏后机体损伤的程度密切相关,在临床上可作为心肺复苏后后多脏器损伤的预警参数.%Objective To investigate the dynamic changes and significance of peripheral blood white cell,platelet count and hs-CRP in patients after cardiopulmonary resuscitation.Methods Fortyeight patients after cardiopulmonary resuscitation according to prognosis were divided into the death group (after cardiopulmonary resuscitation died within 7 days) and survival group (after cardiopulmonary resuscitation survival ＞ 7 days).The peripheral white blood cell count,blood platelet count,high sensitive CRP,two groups were detected and compared.Results There were significant differences between the death group and survival group ;peripheral blood white cell and platelet counts and hs-CRP in death group were significantly higher than that of survival group,platelet counts in death group was significantly lower than that of survival group (P ＜ 0.05).Conclusions Peripheral blood white cell count,platelet count changes,hs-CRP were closely related to the degree of body damage after cardiopulmonary resuscitation,can be used as warning parameters of multiple organ damage after cardiopulmonary resuscitation.