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Prognosis meaning of the serum amylase change during cardiopulmonary resuscitation
Author(s): LI Yu-fan, MENG Qing-yi
Pages: 155-
156
Year: 2001
Issue:
3
Journal: CHINESE JOURNAL OF CRITICAL CARE MEDICINE
Keyword: 心肺复苏; 淀粉酶; 预后;
Abstract: Objective To explore the prognosis meaning of the change of the serum amylase during cardiopulmonary resuscitation (CPR).Methods Observe the changes of the serum amylase, blood gas analysis index and the 24 hours survival rate in 42 cardiac arrest patients who have been treated with CPR and once recovered autonomous circulation. Result ①The survival rate(16.7% )in the group whichserum amylase level > 400 U/L is much higher than that which serum amylase level < 400 U/L(70.8%, P = 0.00055) ;②The group which serum amylase level gradually rise has higher dead rate than that of serum amylase gradually dropped ( P = 0.0545) ;③The mean level of the serum amylase in 24 hour' s survival group is lower than that of the dead group, and the difference between the two group is nearly significant ( P < 0. 1); ④The pH value in the group with serum amylase > 400 U/L is 7.014 ± 0.228, which is lower than those with serum amylase <400 U/L(pH = 7.137 ± 0.167), the difference is very significant (P < 0.005). Conclusion The rise of the serum amylase during CPR indicates unfavorable prognosis.
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