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肺挫伤继发肺部感染的早期诊断研究 被引量:5

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摘要 目的探讨降钙素原(PCT)、白介素-6(IL-6)及C-反应蛋白(CRP)在肺挫伤继发肺部感染早期诊断中的临床价值。方法 50例患者依据有无肺部感染分为感染组(14例)和非感染组(36例),观察肺挫伤伤后病情变化,检测伤后当天及伤后第1天、第3天血清PCT、IL-6及CRP水平,并进行比较分析。结果两组患者血清IL-6及CRP于伤后第1天均明显升高(均P<0.05),在第3天非感染组开始下降,而感染组则进一步升高(P<0.05)。感染组患者血清PCT水平在第1天开始升高(P<0.05),在第3天进一步升高(P<0.05)。非感染组患者血清PCT水平无明显变化(P>0.05)。结论与IL-6、CRP相比,PCT可作为早期诊断肺挫伤继发肺部感染敏感且特异的指标。
出处 《苏州大学学报(医学版)》 CAS 北大核心 2011年第5期828-830,共3页 Suzhou University Journal of Medical Science
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