| 降钙素原在老年人呼吸机相关性肺炎中的应用 |
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| 引用本文： | 何力敏,张韶冈,陈于荤,郑云.降钙素原在老年人呼吸机相关性肺炎中的应用[J].现代预防医学,2011,38(19):4038-4039. |
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| 作者姓名： | 何力敏 张韶冈 陈于荤 郑云 |
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| 作者单位： | 广州市第一人民医院老年病科,广州,510180 |
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| 摘 要： | 目的]探讨降钙素原(PCT)对老年人呼吸机相关性肺炎(VAP)的早期诊断价值,提高对该病的诊断水平。方法]对116例机械通气的老年患者按照7d内是否发生VAP分为VAP组(n=64例)和非VAP组(n=52例),测定其血清PCT水平、C反应蛋白(CRP)及白细胞计数(WBC)。结果]机械通气后VAP组PCT的阳性率显著高于对照组,差异有统计学意义(P﹤0.05);PCT对VAP诊断敏感性为85.9%,特异性为75.0%,阳性预测值为80.9%,阴性预测值为81.3%,均高于CRP和WBC的相应指标。结论]PCT对VAP有较高的敏感性和特异性,有助于VAP的早期诊断,值得临床推广应用。
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| 关 键 词： | 降钙素原 呼吸机相关性肺炎 老年人 诊断 |
APPLICATION OF PROCALCITONIN IN VENTILATOR ASSOCIATED PNEUMONIA FOR ELDERLY PEOPLE |
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| HE Li-min,ZHANG Shao-gang,CHEN Yu-luo,et al..APPLICATION OF PROCALCITONIN IN VENTILATOR ASSOCIATED PNEUMONIA FOR ELDERLY PEOPLE[J].Modern Preventive Medicine,2011,38(19):4038-4039. |
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| Authors: | HE Li-min ZHANG Shao-gang CHEN Yu-luo |
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| Affiliation: | HE Li-min,ZHANG Shao-gang,CHEN Yu-luo,et al.(Department of Geriatrics,Guangzhou First People's Hospital,Guangzhou 510180,China) |
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| Abstract: | Objective]To explore the early diagnostic value of procalcitonin(PCT)in ventilator associated pneumonia(VAP)for elderly people,and to improve the diagnosis level.Methods]116 elderly patients treated by mechanical ventilation were divided into two groups:VAP group(n=64)and non-VAP group(n = 52)based on whether the patients developed VAP in 7 days or not.The level of serum PCT,CRP and WBC were determined.Results]The positive rate of PCT in the VAP group was significantly higher than that in the non-VAP gro... |
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| Keywords: | PCT VAP Elderly people Diagnosis |
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