摘要
目的探讨二聚体(D-D)、降钙素(PCT)对新生儿呼吸窘迫综(RDS)合并发呼吸机相关性肺(VAP)预后评估的价值。方法以100例RDS患儿为对象,根据患者VAP发生情况将患者分为VAP组(n=20)和非VAP组(n=80)。检测D-D、PCT水平,记录VAP患儿预后情况,分析二者与VAP患儿预后的关系。结果 VAP组D-D、PCT水平高于非VAP组(P<0.05)。低危组、中危组、高危组之间亦有差距。20例VAP患者中生存15例(75.00%),死亡5例(25.00%)。死亡组D-D、PCT水平高于生存组(P<0.05)。结论 RDS并发VAP患儿D-D、PCT水平升高,检测二者水平可评估患儿的严重程度及预后情况。
Objective To explore the value of polymer( D-D) and calcitonin( PCT) in the prognosis assessment of neonatal respiratory distress complex( RDS) combined with ventilator-associated lung( VAP).Methods The patients were divided into VAP groups( n-20) and non-VAP groups( n-80) according to the occurrence of VAP in 100 cases. Test D-D and PCT levels,record the prognosis of children with VAP,and analyze the relationship between the two and the prognosis of children with VAP. Results The level of VAP group D-D and PCT was higher than that of non-VAP group( P < 0. 05). There are also gaps between low-risk groups,medium-risk groups and high-risk groups. Of the 20 VAP patients,15( 75. 00%) survived and 5( 25. 00%) died. The level of death group D-D and PCT was higher than that of survival group( P < 0. 05).Conclusion The level of D-D and PCT in children with RDS concurrent VAP was raised,and the detection of both levels could assess the severity and prognosis of the children.
作者
李沛颖
王伟
岳娇娇
白昊冉
何玺玉
LI Pei-ying;WANG Wei;YUE Jiao-jiao;BAI Hao-ran;HE Xi-yu(Department of Pediatrics,Nanyuan District,The fifth medical center of PLA General Hospital,Beijing,100000,China)
出处
《血栓与止血学》
CAS
2022年第1期23-25,共3页
Chinese Journal of Thrombosis and Hemostasis
关键词
二聚体
降钙素
新生儿
呼吸窘迫综
呼吸机相关性肺
D-dimer
Calcitonin
Newborns
Respiratory distress
Ventilator-associated lungs
