首页|血清淀粉样蛋白A在新生儿败血症、坏死性小肠结肠炎早期诊断中的价值

血清淀粉样蛋白A在新生儿败血症、坏死性小肠结肠炎早期诊断中的价值

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新生儿早/晚发型败血症(EOS/LOS)、坏死性小肠结肠炎(NEC)是新生儿期常见疾病,严重病例预后不良。因早期临床表现不特异、诊断较困难,现非特异性实验室检查(C反应蛋白,降钙素原等)尚存缺点,可能导致漏诊误诊。血清淀粉样蛋白A(SAA)是一种新型急性期反应物,其在EOS/LOS、NEC早期即明显升高、持续时间久,与疾病严重程度相关、且能反映治疗效果,可作为这两种疾病诊治的生物标记物。本文就SAA及其在EOS/LOS、NEC早期诊断中的价值进行综述,为该类疾病诊治提供新的参考。
The value of serum amyloid protein A in the early diagnosis of neonatal sepsis and necrotizing enterocolitis
Early/late onset sepsis(EOS/LOS)and necrotizing enterocolitis(NEC)are common diseases during the neonatal period,with poor prognosis in severe cases.The early clinical manifestations are not specific,the diag-nosis is difficult,currently-used non-specific laboratory tests(C-reactive protein,procalcitonin,etc.)have disad-vantages,which may lead to missed diagnosis or misdiagnosis.Serum amyloid A(SAA)is a novel acute phase re-actant that increases significantly in the early stage of EOS/LOS and NEC,and lasts for a long time,it is related to the severity of the disease and can reflect the therapeutic effect,thus it can be used as a biomarker for diagnosis and treatment of these two diseases.This paper reviews SA A and its value in the early diagnosis of EOS/LOS and NEC,providing new references for the diagnosis and treatment of such diseases.

serum amyloid protein Asepsisnecrotizing enterocolitisneonateearly diagnosis

宋思捷、钟晓云

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重庆医科大学附属妇女儿童医院儿科,重庆 401147

重庆市妇幼保健院新生儿科,重庆 401147

重庆市妇幼保健院围产医学中心,重庆 401147

血清淀粉样蛋白A 败血症 坏死性小肠结肠炎 新生儿 早期诊断

重庆市科卫联合医学科研项目重庆市妇幼保健院院级科研课题

2021MSXM1162019YJQNO1

2024

中国感染控制杂志
中南大学

中国感染控制杂志

CSTPCD北大核心
影响因子:2.112
ISSN:1671-9638
年,卷(期):2024.23(3)
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