重症医学科患者低磷血症的临床调查研究

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1、授f'单位代码10089学号或申请号13933HebeiMedicalUniversity硕士学位论文在职科学学位重症医学科患者低磷血症的临床调查研究学位申请人：姚长浩导师：刘丽霞教授胡振杰教授专业：急诊医学二级学院：第四医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组)的指导下，由本人独立完成。本学位论文研究所获得的研究成果,其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第一署名为

2、单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。否则,承担相应法律责任。研究生签名导师签章:级学院领导盖章:w少年y月”日河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外,文中不包含其他人已经发表或撰写的研究成果,指导教师对此进行了审定。本论文由本人独立撰写,文责自负。目录中文摘要························································

3、·····················1英文摘要·············································································3研究论文重症医学科患者低磷血症的临床调查研究前言·············································································6材料与方法·······································

4、·····························6结果·············································································8附图·············································································12附表·························································

5、····················14讨论·············································································18结论·············································································21参考文献······························································

6、·········22附录·············································································28综述危重病合并低磷血症的研究进展······································29致谢···················································································37个人简历···········

7、··································································38中文摘要重症医学科患者低磷血症的临床调查研究摘要背景：低磷血症是危重症患者一种常见的电解质代谢紊乱，对患者预后有重要的影响。熟悉和掌握低磷血症的诊断和防治，有助于改善危重病患者的预后。目的：通过探讨低磷血症在我院重症医学科患者中的流行病学和发病机制、与各临床指标间的关系及对其预后的影响，从而提高对低磷血症的重视，为危重病人的治疗提供参考。方法：采用回顾性分析的方

8、法，入选人群为邢台医专第二附属医院重症加强医疗科（Intensivecareunit,ICU）2013年11月1日～2015年1月31日收治的排除高磷血症的患者。根据血磷水平将患者分为血磷正常组、轻中度低磷血症组和重度低磷血症组。收集患者的一般资料、ICU住院时间、机械通气时间、连续静脉-静脉血液滤过（Continuousvenovenoushemofiltration,CVVH）治疗时间、临床指标、预后，应用SPSS19.0软件对数据进行统计学分析,分析探讨低磷血症的流行病学及与各种指标及治疗