降钙素原鉴别ICU重度颅脑损伤患者发热原因的价值探讨  

The value of procalcitonin in the differentiation of the cause of fever in patients with severe craniocerebral injury

作　　者：杨巧云[1,2] 左祥荣[2] 曹权[2] 

机构地区：[1]南京医科大学附属常州市第二人民医院ICU,江苏常州213000 [2]南京医科大学第一附属医院ICU,江苏南京210029

出　　处：《实用临床医药杂志》2012年第19期120-121,126,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨血清降钙素原(PCT)对ICU重度颅脑损伤患者发热原因的鉴别诊断价值。方法分析40例ICU重度颅脑损伤伴发热患者血清PCT水平与发热原因之间的关系。结果与非感染组相比,感染组患者发热后血清PCT水平明显升高,差异有统计学意义(P<0.01)。结论检测PCT可用于鉴别ICU重度颅脑损伤患者的发热原因,为恰当的抗感染治疗提供依据,从而更好地指导临床治疗。Objective To evaluate the value of serum procalcitonin （PCT） in the differenti- ation of the cause of fever in patients with severe craniocere bral injury. Methods The relationship between the serum PCT levels and the cause of fever in 40 patients with severe eraniocerebral injury in intensive care unit was analyzed. Results Serum PCT increased remarkably in infection group as compared with non - infection group, and the difference was significant （P 〈 0.01）. Conclusion Serum procalcitonin may play an important role in the differentiation of the cause of fever in patients with severe craniocerebral injury, which provides basis for appropriate anti-infection and better guides clinical treatment.

关 键 词：降钙素原 ICU 颅脑损伤 发热 

分 类 号：R651.1[医药卫生—外科学]