Analysis of Blood Trace Elements and Biochemical Indexes Levels in Severe Craniocerebral Trauma Adults with Glasgow Coma Scale and Injury Severity Score

被引:37
作者
Xu, Guangtao [1 ,2 ]
Hu, Bo [3 ]
Chen, Guiqian [2 ]
Yu, Xiaojun [1 ]
Luo, Jianming [1 ]
Lv, Junyao [1 ]
Gu, Jiang [1 ]
机构
[1] Shantou Univ, Coll Med, Dept Forens & Pathol, Natl Key Disciplines, Shantou 515041, Guangdong, Peoples R China
[2] Jiaxing Univ, Dept Forens & Pathol, Coll Med, Jiaxing 314001, Zhejiang, Peoples R China
[3] Jiaxing Hosp Tradit Chinese Med, Dept Pathol, Jiaxing 314001, Zhejiang, Peoples R China
关键词
Trace element; Trauma; Craniocerebral injury; Injury severity score; UREA NITROGEN/CREATININE RATIO; IRON; COPPER; ZINC; DYSFUNCTION; CREATININE; MAGNESIUM; NITROGEN; PLASMA; ZN;
D O I
10.1007/s12011-014-0225-z
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
We aimed to investigate the correlation between the Glasgow Coma Scale (GCS), the injury severity score (ISS) and serum levels of trace elements (TE) in severe trauma patients to analyze alteration of the levels of trace elements and serum biochemical indexes in the period of admission from 126 adult cases of severe brain trauma with traffic accidents. Multi-trace elements for patients in the trauma-TE groups were used. The results indicated that all patients presented an acute trace elements deficiency syndrome (ATEDs) after severe trauma, and the correlation between ISS and serum levels of Fe, Zn, and Mg was significant. Compared to the normal control group, levels of the trace elements in serum were significantly decreased after trauma, suggesting that enhancement of immunity to infection and multiple organ failure (MOF) via the monitoring and supplement of trace elements will be a good strategy to severe traumatic patients in clinics.
引用
收藏
页码:192 / 197
页数:6
相关论文
共 42 条
[1]   Alterations of antioxidant trace elements (Zn, Se, Cu) and related metallo-enzymes in plasma and tissues following burn injury in rats [J].
Agay, D ;
Anderson, RA ;
Sandre, C ;
Bryden, NA ;
Alonso, A ;
Roussel, AM ;
Chancerelle, Y .
BURNS, 2005, 31 (03) :366-371
[2]  
[Anonymous], J CRIT CARE
[3]  
[Anonymous], 2010, CURR ANAESTH CRIT CA, DOI DOI 10.1016/J.CACC.2009.08.004
[4]  
[Anonymous], EMERG MED J
[5]  
[Anonymous], J SURG CONCEPTS PRAC
[6]  
[Anonymous], J FORENSIC MED
[7]   INJURY SEVERITY SCORE - METHOD FOR DESCRIBING PATIENTS WITH MULTIPLE INJURIES AND EVALUATING EMERGENCY CARE [J].
BAKER, SP ;
ONEILL, B ;
HADDON, W ;
LONG, WB .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1974, 14 (03) :187-196
[8]   Extracellular micronutrient levels and pro-/antioxidant status in trauma patients with wound healing disorders: results of a cross-sectional study [J].
Blass, Sandra C. ;
Goost, Hans ;
Burger, Christof ;
Tolba, Rene H. ;
Stoffel-Wagner, Birgit ;
Stehle, Peter ;
Ellinger, Sabine .
NUTRITION JOURNAL, 2013, 12
[9]   The immune system as a physiological indicator ofmarginal copper status? [J].
Bonham, M ;
O'Connor, JM ;
Hannigan, BM ;
Strain, JJ .
BRITISH JOURNAL OF NUTRITION, 2002, 87 (05) :393-403
[10]   Blood Urea Nitrogen/Creatinine Ratio Identifies a High-Risk but Potentially Reversible Form of Renal Dysfunction in Patients With Decompensated Heart Failure [J].
Brisco, Meredith A. ;
Coca, Steven G. ;
Chen, Jennifer ;
Owens, Anjali Tiku ;
McCauley, Brian D. ;
Kimmel, Stephen E. ;
Testani, Jeffrey M. .
CIRCULATION-HEART FAILURE, 2013, 6 (02) :233-239