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目的:观察降钙素原(PCT)在鉴别脑出血性疾病患者发热原因中的应用价值。方法:选择脑出血性疾病伴发热60例,根据微生物学检测结果分为细菌感染发热组32例和非细菌感染发热组28例。检测入院时两组白细胞(WBC)计数、中性粒细胞分类和C反应蛋白(CRP)水平,比较两组入院后第1天、3天、5天、7天血清PCT水平。结果:入院第1天两组最高体温、血清CRP水平、WBC计数、中性粒细胞分类比较,均差异不显著(P>0.05);入院第1天、3天、5天、7天,细菌感染组PCT水平均非常显著高于非细菌感染组(P<0.01)。结论:血清PCT水平对鉴别脑出血性疾病患者的发热原因有较好的参考价值。
Objective: To observe the value of procalcitonin (PCT) in identifying the cause of fever in patients with cerebral hemorrhagic disease. Methods: 60 cases of hemorrhagic disease with fever were selected. According to the result of microbiological examination, 32 cases were divided into bacterial infection fever group and 28 cases non-bacterial infection fever group. The WBC count, neutrophil classification and C-reactive protein (CRP) were measured at admission. The serum PCT levels were compared between the two groups on the 1st, 3rd, 5th and 7th day after admission. Results: On the first day after admission, the highest body temperature, serum CRP level, WBC count and neutrophil classification were not significantly different (P> 0.05). On the 1st, 3rd, 5th and 7th days after admission, The PCT level in the infected group was significantly higher than that in the non-bacterial group (P <0.01). Conclusion: The serum PCT level has a good reference value for identifying the cause of fever in patients with cerebral hemorrhagic disease.