{"title":"识别重症患者的 CRP/Albumin 比率和 NLR","authors":"Abuzer Özkan","doi":"10.55994/ejcc.1435162","DOIUrl":null,"url":null,"abstract":"Managing critically ill patients in the emergency department requires a comprehensive approach that encompasses rapid recognition, timely intervention, and continuous monitoring. These patients present with a spectrum of conditions ranging from trauma to septic shock, necessitating immediate medical attention to prevent further deterioration. The initial assessment follows the ABCDE approach, focusing on Airway, Breathing, Circulation, Disability, and Exposure. Resuscitation and stabilization efforts aim to restore perfusion and oxygenation to vital organs through fluid resuscitation, vasopressor therapy, and mechanical ventilation. Ongoing care involves vigilant monitoring of vital signs, laboratory parameters, and organ function, guiding therapeutic interventions, and informing decisions regarding escalation or de-escalation of care. Laboratory parameters, including inflammatory markers like C-reactive protein and neutrophil-to-lymphocyte ratio, play a crucial role in assessing the patient's condition, monitoring response to treatment, and predicting clinical outcomes. Multidisciplinary collaboration ensures comprehensive care tailored to the patient's needs, ultimately optimizing outcomes and reducing mortality in this high-risk population.","PeriodicalId":507244,"journal":{"name":"Eurasian Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"CRP/Albumin Ratio and NLR in Recognizing Critically Ill Patients\",\"authors\":\"Abuzer Özkan\",\"doi\":\"10.55994/ejcc.1435162\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Managing critically ill patients in the emergency department requires a comprehensive approach that encompasses rapid recognition, timely intervention, and continuous monitoring. These patients present with a spectrum of conditions ranging from trauma to septic shock, necessitating immediate medical attention to prevent further deterioration. The initial assessment follows the ABCDE approach, focusing on Airway, Breathing, Circulation, Disability, and Exposure. Resuscitation and stabilization efforts aim to restore perfusion and oxygenation to vital organs through fluid resuscitation, vasopressor therapy, and mechanical ventilation. Ongoing care involves vigilant monitoring of vital signs, laboratory parameters, and organ function, guiding therapeutic interventions, and informing decisions regarding escalation or de-escalation of care. Laboratory parameters, including inflammatory markers like C-reactive protein and neutrophil-to-lymphocyte ratio, play a crucial role in assessing the patient's condition, monitoring response to treatment, and predicting clinical outcomes. Multidisciplinary collaboration ensures comprehensive care tailored to the patient's needs, ultimately optimizing outcomes and reducing mortality in this high-risk population.\",\"PeriodicalId\":507244,\"journal\":{\"name\":\"Eurasian Journal of Critical Care\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-04-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Eurasian Journal of Critical Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.55994/ejcc.1435162\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Eurasian Journal of Critical Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.55994/ejcc.1435162","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
在急诊科处理危重病人需要采取综合措施,包括快速识别、及时干预和持续监测。这些患者的病情多种多样,从外伤到脓毒性休克不等,需要立即给予治疗,以防止病情进一步恶化。初步评估遵循 ABCDE 方法,重点是气道、呼吸、循环、残疾和暴露。复苏和稳定工作旨在通过液体复苏、血管加压疗法和机械通气恢复重要器官的灌注和氧合。持续护理包括对生命体征、实验室参数和器官功能进行警惕性监测,指导治疗干预,并为护理升级或降级的决策提供信息。实验室参数,包括 C 反应蛋白和中性粒细胞与淋巴细胞比值等炎症指标,在评估患者病情、监测治疗反应和预测临床结果方面起着至关重要的作用。多学科协作可确保根据患者的需求提供全面护理,最终优化治疗效果并降低高危人群的死亡率。
CRP/Albumin Ratio and NLR in Recognizing Critically Ill Patients
Managing critically ill patients in the emergency department requires a comprehensive approach that encompasses rapid recognition, timely intervention, and continuous monitoring. These patients present with a spectrum of conditions ranging from trauma to septic shock, necessitating immediate medical attention to prevent further deterioration. The initial assessment follows the ABCDE approach, focusing on Airway, Breathing, Circulation, Disability, and Exposure. Resuscitation and stabilization efforts aim to restore perfusion and oxygenation to vital organs through fluid resuscitation, vasopressor therapy, and mechanical ventilation. Ongoing care involves vigilant monitoring of vital signs, laboratory parameters, and organ function, guiding therapeutic interventions, and informing decisions regarding escalation or de-escalation of care. Laboratory parameters, including inflammatory markers like C-reactive protein and neutrophil-to-lymphocyte ratio, play a crucial role in assessing the patient's condition, monitoring response to treatment, and predicting clinical outcomes. Multidisciplinary collaboration ensures comprehensive care tailored to the patient's needs, ultimately optimizing outcomes and reducing mortality in this high-risk population.