摘要
目的：探讨血清降钙素原的动态监测对ICU老年重症肺炎患者的临床意义。方法选取我院收入ICU的老年重症肺炎患者78例，治疗后根据预后情况分为存活A组和死亡B组，分析比较两组生化指标和死亡危险性。结论 A组降钙素原水平呈进行性下降趋势，B组降钙素原进行性上升，但两组患者的白细胞计数、中性粒细胞百分比和超敏C反应蛋白水平无明显差异，第5、7天B组的死亡危险性明显高于A组。结论动态检测血清降钙素原可有效判断ICU老年重症肺炎患者的严重程度和评估预后，灵敏度高、特异性强。
Abstract
Purpose:Study the clinical significance of dynamic monitoring of serum calcitonin original for elderly patients with severe pneumonia in ICU.Methods:78 cases of elderly patients with severe pneumonia selected in our hospital ICU,according to the prognosis after treatment can be divided into survival group A and group B death,and we need comparing two sets of biochemical index and risk of death Conclusion:Calcitonin original level in group A appear progressive decline and group B calcitonin original progressive rise,but the two groups of patients do not have obvious difference between white blood cellcount,percentage of neutrophils and hypersensitive c-reactive protein levels.5th and 7th days,the death risk of B group was obviously higher than that of group A.Conclusion:Dynamic detection of serum calcitonin original can effectively judge the severity of elderly patients with severe pneumoniain the ICU and assessment of prognosis,with high sensitivity,strong specificity.
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