现代医院2016,Vol.16Issue(1):19-21,3.DOI:10.3969/j.issn.1671-332X.2016.01.007
血浆内毒素检测在脓毒症病人中的应用
Application of Plasmic Endotoxin Detection in Treatment of Sepsis
摘要
Abstract
Objective To estimate the clinical application of plasmic endotoxin detection in the treatment of sepsis.Methods 36 septic patients admitted in our intensive care unit were observed prospectively.The endotoxin, white blood cell, C-reaction protein and procalcitonin were detected.After that, the relationships between endotoxin and white blood cell, C-reaction protein, procalcitonin, gastrointestinal dysfunction respectively were analyzed.Re-sults The mortality and the endotoxin level were both higher in patients with septic shock than those in the septic pa-tients without septic shock ( P<0.05) .There were no significantly statistical differences between endotoxin concen-tration and gastrointestinal dysfunction, white blood cells, or C-reaction protein respectively (P>0.05).However, there was statistically difference between endotoxin concentration in plasma and procalcitonin ( r =0.462, P =0.039) .Conclusion The risk of poor prognosis is larger while shock occurs in the septic patients.Endotoxin is re-lated to shock and serum procalcitonin.关键词
内毒素/脓毒症/脓毒症休克/胃肠道功能不全/预后Key words
Endotoxin/Sepsis/Septic Shock/Gastrointestinal Dysfunction/Prognosis分类
医药卫生引用本文复制引用
赖添顺,林哲婉,肖百芳..血浆内毒素检测在脓毒症病人中的应用[J].现代医院,2016,16(1):19-21,3.基金项目
广东省医学科研基金(编号A2014830);梅州市科技计划项目 ()