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新生儿败血症血清降钙素原的动态改变 被引量:15

Dynamic Variations of Serum Procalcitonin Levels in Neonates with Sepsis
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摘要 目的 探讨新生儿败血症患儿血中降钙素原 (procalcitoninPCT)的改变。方法 以放免方法检测2 4例新生儿败血症患儿血中PCT的改变 ,同时检测 2 0例缺血缺氧性脑病 (HIE)以及 16例正常足月儿作为正常对照。结果 新生儿败血症患儿在急性期PCT较正常对照组明显升高 [(112 .2 3± 10 .13) μg/Lvs (8.6 5± 2 .14)μg/L],(P <0 .0 1) ;经抗生素治疗 1周后降至正常水平 (9.15± 3.19) μg/Lvs (8.6 3± 2 .96 ) μg/L ,(P >0 .0 5 ) ;而HIE组患儿PCT与正常对照组比较无明显的差别。结论 新生儿败血症患儿在急性期血中PCT明显增高 ,对败血症的早期诊断有一定的价值。 Objective To study the changes of serum procalcitonin (PCT) in neonates with sepsis. Methods Serum PCT was determined using an immunoradiometric assay in 20 newborn infants with neonatal sepsis, 24 neonates with hypoxic ischemic encephalopathy (HIE) and 16 healthy newborn controls. Results Increased levels of serum PCT were found in neonates with sepsis compared with the control group [( 112.23 ± 10.13 ) μg/L vs ( 8.65 ± 2.14 ) μg/L], (P< 0.01 ). After 1 week of treatment with appropriate antibiotics, PCT levels returned to normal. There was no difference between HIE neonates and the control group. Conclusions Elevated serum PCT levels are noted in neonatal sepsis. PCT might be of value in the diagnosis of neonatal sepsis.
出处 《中国当代儿科杂志》 CAS CSCD 2001年第3期221-223,共3页 Chinese Journal of Contemporary Pediatrics
关键词 降钙素原 败血症 新生儿 Procalcitonin Sepsis Neonate
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