红细胞压积与白蛋白差值在继发性腹腔感染患者病程中的变化.

Objective　 To provide the certain guidance for the accurate treatment of patients with abdominal infection by observing the changes of the difference between HCT and ALB in the treatment of patients with abdominal infection. Methods　 A total of 106 patients with various abdominal infection treated in the First Affiliated Hospital of Kunming Medical University from January 2018 to December 2018 were selected and divided into 7 groups （n = 106） according to the operation time： preoperative， postoperative 12 h， postoperative 1 day， postoperative 2 days， postoperative 7 days， postoperative 14 days and postoperative 21 days. Gender and age of patients were recorded. The hematocrit and plasma albumin of patients at each time point above were collected， and the HCT-ALB difference was calculated. According to the clinical outcome， they were divided into the postoperative improvement group and the death group. The difference of HCT，ALB and HCT-ALB in each group was compared. Results　 Compared with those before the surgery， HCT and ALB decreased and HCT-ALB increased 12 h， 1 day，2 days and 7 days after the surgery （P < 0.05）. Compared with those before the operation， HCT and ALB decreased 14 days after the operation （P < 0.05），but there was no significant difference in HCT-ALB （P > 0.05）. Compared with the improved group， the age of patients in the death group increased （ P < 0.05）， and the preoperative HCT-ALB increased （P < 0.05）. Conclusion　 Capillary leakage is aggravated in patients with celiac infection after the surgical treatment， and the pathological process lasts for more than 7 days， and the capillaries of the dead are more leaky. [ABSTRACT FROM AUTHOR]