血清及脑脊液降钙素原在神经外科术后颅内感染早期诊断中的.PDF

涓浗涓村簥绁炵粡澶栫鏉傚織2017 骞? 鏈堢22 鍗风4 鏈 Chin J Clin Neurosurg, April 2017, Vol. 22, No. 4 - 237 - 鈼 璁鸿 钁楄憲 鈼 琛€娓呭強鑴戣剨娑查檷閽欑礌鍘熷湪绁炵粡澶栫鏈悗棰呭唴鎰熸煋 鏃╂湡璇婃柇涓殑搴旂敤 姝﹀厓鏄 閮濅含浜 鐜 寮 銆愭憳瑕併€戠洰鐨勬帰璁ㄨ娓呭強鑴戣剨娑查檷閽欑礌鍘燂紙PCT 锛夊湪绁炵粡澶栫鏈悗棰呭唴鎰熸煋鏃╂湡璇婃柇涓殑浠峰€笺€傛柟娉?013 骞? 鏈堣嚦2015 骞 9 鏈堝寳浜ぉ鍧涘尰闄㈢缁忓绉戞湳鍚庝繚鐣欐湳鑵?鑴戝寮曟祦鐨勭梾浜哄叡90 渚嬶紝鏈悗绗?銆?銆?銆? 銆?0澶╃粡寮曟祦绠＄暀鍙栬剳鑴婃恫锛屽悓鏃跺彇绌鸿吂闈 鑴夎杩涜PCT 妫€娴嬨€傜粨鏋滄湳鍚庣‘璇婇鍐呮劅鏌?0 渚嬶紙鎰熸煋缁勶級锛屾棤棰呭唴鎰熸煋50 渚嬶紙鏃犳劅鏌撶粍锛夈€傛劅鏌撶粍鑴戣剨娑睵CT 姘村钩鍏堝崌楂橈紝鍚 闄嶄綆锛涜€屾棤鎰熸煋缁勫憟閫愭笎闄嶄綆瓒嬪娍銆傛湳鍚庣1澶╋紝鎰熸煋缁勪笌鏃犳劅鏌撶粍鑴戣剨娑睵CT 姘村钩鏃犵粺璁″宸紓锛圥0.05锛夛紱鏈悗绗? 澶╋紝鎰熸煋 缁勮剳鑴婃恫PCT 姘村钩鏄庢樉楂樹簬鏃犳劅鏌撶粍锛圥0.05锛夛紱闅忓悗锛屼袱缁勮剳鑴婃恫PCT 姘村钩鏃犵粺璁″宸紓锛圥0.05锛夈€備袱缁勬湳鍚庤娓匬CT 姘村钩鍧 鍛堥€愭笎涓嬮檷瓒嬪娍銆傛湳鍚?銆?銆? d 锛岃瀵熺粍琛€娓匬CT 姘村钩鏄庢樉楂樹簬瀵圭収缁勶紙P0.05锛夈€備互鑴戣剨娑睵CT 鈮?.17 ng/ml 涓虹晫锛岃瘖鏂鍐呮劅 鏌撶殑鏁忔劅搴︿负72.2% 锛岀壒寮傚害涓?9.6% 锛涗互琛€娓匬CT 鈮?.21 ng/ml 涓虹晫锛岃瘖鏂鍐呮劅鏌撶殑鏁忔劅搴︿负83.3% 锛岀壒寮傚害涓?00%銆傜粨璁烘湳 鍚庣1澶╄剳鑴婃恫PCT 鍗囬珮锛屽彲鑳戒笌鎵嬫湳鐐庢€у埡婵€鏈夊叧銆傛湳鍚庣3 澶╄剳鑴婃恫PCT 澧為珮鍙綔涓洪娴嬮鍐呮劅鏌撶殑鎸囨爣銆 銆愬叧閿瘝銆戦鍐呮劅鏌擄紱琛€娓咃紱鑴戣剨娑诧紱闄嶉挋绱犲師锛涜瘖鏂 + + 銆愭枃绔犵紪鍙枫€?009-153X锛?017 锛?4-0237-02 銆愭枃鐚爣蹇楃爜銆慉 銆愪腑鍥藉浘涔﹁祫鏂欏垎绫诲彿銆慠 651.1 1; R 619 .3 Valueofprocalcitonininserumandcerebrospinalfluidtodiagnosisofintracranialinfectionearlyaftercraniotomy 1 2 2 WUYuan-xing,HAOJing-jing,WANGQiang.1.RespiratoryandCriticalCareMedicineDepartment,BeijingAnzhenHospital, CapitalMedicalUniversity,Beijing100029,China,2.IntensiveCareUnit,BeijingTiantanHospital,TheCapitalMedicalUniversity, Beijing100050,China 銆怉bstract銆慜bjectiveTo investigate the value of serum and cerebrospinal fluid (CSF) procalcitonin (PCT) in the early diagnosis of intracranial infection after the craniotomy. MethodsThe levels of the serum and C