摘要
目的探讨血清尿素(BUN)与肌酐(Cr)在上、下消化道大出血鉴别诊断中的意义。方法回顾性分析68例消化道大出血病例。结果 36例上消化道大出血病例中32例血清尿素>8.9 mmol·L-1,其平均值为(13.9±2.5)mmol·L-1,血清肌酐为(86.3±14.2)μmol·L-1。32例下消化道大出血组血清尿素为(5.8±2.4)mmol·L-1,血清肌酐为(84.5±12.5)μmol·L-1。上消化道出血组血清尿素与下消化道出血组比较P<0.01,有显著性差异。其血清肌酐间比较P>0.05,无显著性差异。上消化道和下消化道出血组的血清肌酐与对照组比较均P>0.05,无显著性差异。结论在参考血清肌酐的情况下,血清尿素有助于鉴别诊断上、下消化道大出血。
Objective To explore the significance of serum urea and creatinine in the differentiation and diagnosis of massive hemorrhage in upper and lower digestive canal. Methods 68 cases with massive hemorrhage of digestive canal were retrospectively analyzed. Results in 36 cases with massive hemorrhage of upper digestive canal,the serum urea of 32 cases was 〉 8.9 mmol·L-1 ,the was （13.9 ± 2.5） mmol·L-1 ,the of serum creatinine was （86.3 ± 14.2）mmol·L-1. The of serum urea in 32 cases with lower digestive canal was （5.8±2.4） mmol·L-1, and the of serum creatinine was （84. 5 ±12.5） μmol·L-1. The serum urea in upper digestive canul hemorrhage group and lower digestive canal hemorrhage group had obvious differences,P 〈 0.01 ,while sermn creatinine in the 2 groups had no obvious differences,P 〉 0.05. The sermn creatinine in upper digestive canal hemorrhage group and lower digestive canal hemorrhage group had obvious differences from control group,P 〉 0.05. Conclusions Sermn urea is helpful to differentiate and diagnose massive hemorrhage in upper and lower digestive canal under the situation of referring sermn creatinine.
出处
《安徽医药》
CAS
2014年第1期127-129,共3页
Anhui Medical and Pharmaceutical Journal
关键词
血清尿素
血清肌酐
消化道出血
serum urea
serum creatinine
digestive canal hemorrhage
