广西医学Issue(7)：939-941,3.DOI:10.11675/j.issn.0253-4304.2014.07.25
降钙素原对危重症患者呼吸机相关性肺炎早期诊断与预后判断的价值
Value of Procalcitonin for Early Diagnosis and Prognostic Judgment in Critically Patients with Ventilator Associated Pneumonia
李智业 1吴苏武 1张淇钏 1陈伟宏1
作者信息
- 1. 中山大学附属汕头医院暨汕头市中心医院ICU，汕头市 515031
- 折叠
摘要
Abstract
Objective To study the value of procalcitonin ( PCT) for early diagnosis and prognostic judgment in critically patients with ventilator associated pneumonia .Methods Eighty-two critically patients with suspected ventilator associated pneumonia were detected for their WBC count,C-reactive protein(CRP) and PCT levels.Eighty-two patients were divided into diagnosis group (42 cases) and non-diagnosis group(40 cases) according the confirmed diagnostic results.The patients in the diagnosis group were detected for PCT after 5-day routine treatment ,and their clinical pulmonary infection scores(CPIS) were assessed.The patients in the diagnosis group were divided into recovery group (22 cases) and deterioration group (20 cases ) according to their CPIS scores .The related indexes including PCT , CRP levels and WBC count were compared between diagnosis group and non-diagnosis group as well as recovery group and deterioration group . Results The serum PCT ,CRP levels and WBC count in the diagnosis group were significantly higher than those in the non-diagnosis group(P<0.05).The serum PCT,CRP levels,WBC count and CPIS scores in the recovery group were significantly lower than those in the deterioration group (P<0.05).Conclusion PCT is valuable in the early diagnosis of critically patients with VAP ,and dynamically monitoring PCT plays an active role on judging the prognosis of VAP.关键词
呼吸机相关性肺炎/降钙素原/早期诊断/预后Key words
Ventilator associated pneumonia/Procalcitonin/Early diagnosis/Prognosis分类
医药卫生引用本文复制引用
李智业,吴苏武,张淇钏,陈伟宏..降钙素原对危重症患者呼吸机相关性肺炎早期诊断与预后判断的价值[J].广西医学,2014,(7):939-941,3.
