中国伤残医学
中國傷殘醫學
중국상잔의학
Chinese Journal of Trauma and Disability Medicine
2015年
20期
22-23,24
,共3页
王佐岩%尚晓霞%李佳%慕丽娜%彭翠兰
王佐巖%尚曉霞%李佳%慕麗娜%彭翠蘭
왕좌암%상효하%리가%모려나%팽취란
慢性心力衰竭%降钙素原%肺部感染
慢性心力衰竭%降鈣素原%肺部感染
만성심력쇠갈%강개소원%폐부감염
Chronic heart failure%Procalcitonin%Lung infection
目的:探讨降钙素原( procalcitonin,PCT)对慢性心力衰竭合并肺部感染的早期诊断价值。方法:40例慢性心力衰竭患者,根据临床表现分为合并肺部感染组和非感染组。所有患者入院当时抽血检测PCT、C反应蛋白( C reaction protein,CRP)和白细胞( white blood cell,WBC)计数水平,同时行痰培养、胸片等检查。结果:PCT在肺部感染组尤其痰培养阳性患者升高明显,浓度高于0.5 ng/ml,诊断慢性心功能不全合并肺部感染的敏感性为97%,均高于CRP和WBC。结论:PCT可以作为判断慢性心功能不全合并肺部感染的的早期指标,而且可以反映病情程度。
目的:探討降鈣素原( procalcitonin,PCT)對慢性心力衰竭閤併肺部感染的早期診斷價值。方法:40例慢性心力衰竭患者,根據臨床錶現分為閤併肺部感染組和非感染組。所有患者入院噹時抽血檢測PCT、C反應蛋白( C reaction protein,CRP)和白細胞( white blood cell,WBC)計數水平,同時行痰培養、胸片等檢查。結果:PCT在肺部感染組尤其痰培養暘性患者升高明顯,濃度高于0.5 ng/ml,診斷慢性心功能不全閤併肺部感染的敏感性為97%,均高于CRP和WBC。結論:PCT可以作為判斷慢性心功能不全閤併肺部感染的的早期指標,而且可以反映病情程度。
목적:탐토강개소원( procalcitonin,PCT)대만성심력쇠갈합병폐부감염적조기진단개치。방법:40례만성심력쇠갈환자,근거림상표현분위합병폐부감염조화비감염조。소유환자입원당시추혈검측PCT、C반응단백( C reaction protein,CRP)화백세포( white blood cell,WBC)계수수평,동시행담배양、흉편등검사。결과:PCT재폐부감염조우기담배양양성환자승고명현,농도고우0.5 ng/ml,진단만성심공능불전합병폐부감염적민감성위97%,균고우CRP화WBC。결론:PCT가이작위판단만성심공능불전합병폐부감염적적조기지표,이차가이반영병정정도。
Objective:To evaluate the diagnostic value of chronic heart failure with pulmonary infection early procalcitonin ( procalci-tonin, PCT) .Methods:40 cases of patients with chronic heart failure, according to the clinical pulmonary infection were divided into groups and non-infected groups.All patients admitted to hospital at the time, respectively, after admission blood test PCT, C-reactive protein (C reaction protein, CRP) and leukocyte (white blood cell, WBC) count levels, while sputum culture, chest X -ray, etc. checks.Results:PCT lung infection in patients with positive sputum culture in particular increased significantly, concentrations higher than 0.5 ng /ml, the sensitivity of the diagnosis of chronic heart failure with pulmonary infection was 97% higher than the CRP and WBC.Conclusion:PCT as a judge of chronic heart failure with pulmonary infection early indicator, and may reflect the severity of dis-ease.