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引用次数: 0
摘要
败血症是导致重症患者死亡的主要原因,这主要是由于败血症有可能诱发致命的器官功能障碍。对于临床医生来说,掌握适当的指标(包括败血症患者的生理状态和个人经历)对监测病情和评估预后至关重要。这种方法有助于防止病情恶化和降低死亡率。最近的败血症指南侧重于通过早期发现和及时治疗来改善患者的预后。然而,识别重症病例和预测其预后仍然是一项挑战。近年来,人们对利用 C 反应蛋白(CRP)/白蛋白比值(CAR)来评估败血症患者的病情并预测其预后产生了浓厚的兴趣。本研究集中探讨了CAR在败血症病理过程中的意义、CAR与预后的关系,以及采用降钙素原、乳酸、CRP和其他潜在生物标记物的最新进展。CAR 对败血症预后和死亡率具有预测价值,因此越来越多地被用作诊断和监测败血症患者的临床生化标志物。
Review of the Predictive Value of Biomarkers in Sepsis Mortality.
Sepsis is a leading cause of mortality among severely ill individuals, primarily due to its potential to induce fatal organ dysfunction. For clinicians, it is vital to have appropriate indicators, including the physiological status and personal experiences of patients with sepsis, to monitor the condition and assess prognosis. This approach aids in preventing the worsening of the illness and reduces mortality. Recent guidelines for sepsis focus on improving patient outcomes through early detection and timely treatment. Nonetheless, identifying severe cases and predicting their prognoses remain challenging. In recent years, there has been considerable interest in utilising the C-reactive protein (CRP)/albumin ratio (CAR) to evaluate the condition and forecast the prognosis of patients with sepsis. This research concentrates on the significance of CAR in the pathological process of sepsis, its association with prognosis, and the latest developments in employing procalcitonin, lactic acid, CRP, and other potential biomarkers. The CAR, with its predictive value for sepsis prognosis and mortality, is increasingly used as a clinical biochemical marker in diagnosing and monitoring patients with sepsis.
期刊介绍:
Emergency Medicine International is a peer-reviewed, Open Access journal that provides a forum for doctors, nurses, paramedics and ambulance staff. The journal publishes original research articles, review articles, and clinical studies related to prehospital care, disaster preparedness and response, acute medical and paediatric emergencies, critical care, sports medicine, wound care, and toxicology.