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动态监测血清降钙素原对多发伤患者并发脓毒症的诊断价值 被引量:6

Clinical Significance of Dynamic Determination of Serum Procalci ton Levels in Judgement of Sepsis Patients After Multiple Trauma
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摘要 目的:探讨动态监测血清降钙素原(PCT)对多发伤合并脓毒症的诊断价值。方法:选取我院重症监护室并发脓毒症的多发伤患者21例(Sepsis组)、无并发脓毒症的多发伤患者20例(非Sepsis组),连续检测患者入院第1、3、5、7 d血清中的PCT含量,并测定C反应蛋白和白细胞计数。结果:Sepsis组血清PCT浓度明显高于非Sepsis组(P<0.01);不同程度脓毒症患者间PCT水平有显著差异,随严重程度升高而升高(P<0.01)。结论:血清PCT对多发伤患者合并脓毒症的诊断具有重要价值,且血清PCT水平与脓毒症的严重程度有关,监测其动态变化有助于预后判断。 Objective: To explore the clinical significance of dynamic determination of serum procalcionin(PCT) levels in judgement of sepsis patients after multiple trauma. Methods: 41 patients with multiple trauma were divided into sepsis group(20 cases) and non-sepsis group(20 cases), the levels of PCT, WBC and C-reactive protein (CRP) of all samples at 1, 3, 5, 7 day were detected and analysed. Results: The level of PCT in sepsis group was significantly higher than non-sepsis group(P〈0.01). The PCT level was increased with increasing severity of sepsis significantly(P〈0.01). Conclusion: The alteration of serum PCT level may be used as one of the effective predictors for sepsis patients after multiple trauma and for their prognosis.
出处 《生物技术通讯》 CAS 2012年第4期592-594,共3页 Letters in Biotechnology
关键词 多发伤 降钙素原 脓毒血症 proealcionin sepsis multiple trauma
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  • 1刘明华,张庆玲,府伟灵.呼吸机相关性肺炎的流行病学和诊断进展[J].中华医院感染学杂志,2004,14(1):116-118. 被引量:266
  • 2蔡少华,张进川,俞森洋,刘长庭,钱桂生.呼吸机相关肺炎的病原学和耐药性监测[J].中华医院感染学杂志,2004,14(4):365-368. 被引量:98
  • 3王正国.道路交通事故伤的现状和对策[J].中华创伤杂志,1993,9(2):70-74. 被引量:39
  • 4吴岳嵩.多发伤的早期处理[J].中华创伤杂志,1997,13(1):62-63. 被引量:57
  • 5[5]Duflo F,Debon R,Goudable J,et al.Alveolar and serum oxidative stress in ventilator-associated pneumonia[J].Br J Anaesth,2002,89:231-236.
  • 6[1]Dandona P.Nix D,Wilson MF,et al.Procalcitonin increase.Metab,1994.79(6):1605-1608
  • 7[2]Gendrel D.Bohunon C.Procalcitonin,a marker of bacterial infection.Infection,1997,25:133-134
  • 8[3]Karzai W.Oberhoffer M,Meier-Hellmana A,et al.Procalcitonin-A new indicator of the systemmie response to severe infections.Infection,1997.25:329-334
  • 9[4]Herget-Rosenthal S,Marggraf g,Pietruck F,et al.Procalcitonin for accurate detection of infection in haemodialysis[J].Nephrol Dial Transplant,2001,16:975-979
  • 10[5]Hammers,Meisner F,Hammer C,et al.Use of procalcitonin as indicator of nonviral infection in transplantation and related immunologic diseases.Transplant Rev,2000,14:52-63

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  • 1苏磊,周殿元,唐柚青,文强,白涛,孟繁苏,唐丽群,段鹏凯.CD14^+单核细胞人白细胞DR抗原在脓毒症早期检测中的临床意义[J].中国危重病急救医学,2006,18(11):677-679. 被引量:21
  • 2林洪远,管向东,周立新,艾宇航,王可富.乌司他丁、α1胸腺肽联合治疗严重脓毒症——一种新的免疫调理治疗方法的临床研究[J].中华医学杂志,2007,87(7):451-457. 被引量:100
  • 3Schwarz S,Bertram M,Schwab S,et al.Serum procalcitoninlevels in bacterial and abacterial meningitis[J].Crit CareMed, 2000, 28(6): 1828-1832.
  • 4Levy MM, Fink MP, Marshall JC, et al.2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis DefinitionsConference[J].Intensive Care Med, 2003, 29(4): 530-538.
  • 5Prucha M, Zazula R, Muller M, et al. TREM-1 expression on monocytes is not a parameter specific for infectious etiology of systemic inflammatory response syndrome[J]. Prague Med Rep, 2011,112(3):205-215.
  • 6Dellinger R P, Levy M M, Rhodes A, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012[J]. Crit Care Med, 2013,41(2): 580-637.
  • 7Knaus W A, Draper E A, Wagner D P, et al. APACHE II: a severity of disease classification system[J]. Crit Care Med, 1985:1(10):818-829.
  • 8Liu B. Chen Y X, Yin Q, et al. Diagnostic value and prog- nostic evaluation of Presepsin for sepsis in an emergency de- partment[J]. Crit Care, 2013,17(5):R244.
  • 9Oberholzer A, Oberholzer C, Moldawer L L. Sepsis syndromes: understanding the role of innate and acquired immunity[J]. Shock, 2001,16(2):83-96.
  • 10陈宏础,王鸿利.全国临床检验操作规程[M].南京:东南大学出版社,2006:133.

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