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血浆内毒素检测在脓毒症病人中的应用

赖添顺 林哲婉 肖百芳

现代医院2016,Vol.16Issue(1):19-21,3.
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

赖添顺 1林哲婉 2肖百芳3

作者信息

  • 1. 梅州市中医医院 广东梅州 514071
  • 2. 梅州市人民医院 广东梅州 514031
  • 3. 梅州市人民医院 广东梅州 514031
  • 折叠

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 ()

现代医院

1671-332X

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