首页|浅谈动态监测血清降钙素原(PCT)在ICU老年重症肺炎患者的临床意义

浅谈动态监测血清降钙素原(PCT)在ICU老年重症肺炎患者的临床意义

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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。
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.

calcitonin originalsenile severe pneumonia

孙晓兰

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吉林省吉林市人民医院医保科 132001

降钙素原 老年重症肺炎

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(5)
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