血清降钙素原和C反应蛋白测定在心功能不全合并肺部感染患者中的临床价值  

Serum Procalcitonin and C - reactive Protein was Measured in Heart Failure Clinical Value in Patients with Pulmonary Infection

作　　者：王佐岩[1] 尚晓霞 李佳[1] 慕丽娜[1] 彭翠兰[1] 

机构地区：[1]大庆龙南医院呼吸内科,黑龙江大庆163453

出　　处：《中国伤残医学》2015年第20期22-24,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨降钙素原（procalcitonin，PCT）对慢性心力衰竭合并肺部感染的早期诊断价值。方法：dO例慢性心力衰竭患者，根据临床表现分为合并肺部感染组和非感染组。所有患者入院当时抽血检测PCT、C反应蛋白（C reactionpmtein，CRP）和白细胞（white blood cell，WBC）计数水平，同时行痰培养、胸片等检查。结果：PCT在肺部感染组尤其痰培养阳性患者升高明显，浓度高于0．5ng/ml，诊断慢性心功能不全合并肺部感染的敏感性为97％，均高于CRP和WBC。结论：PCT可以作为判断慢性心功能不全合并肺部感染的的早期指标，而且可以反映病情程度。Objective： To evaluate the diagnostic value of chronic heart failure with pulmonary infection early procalcitonin （ procalci- tonin, PCT）. Methods： 40 cases of patients with chronic heart failure, according to the clinical pulmonary infection were divided into groups and non - infected groups. All patients admitted to hospital at the time, respectively, after admission blood test PCT, C - reactive protein （C reaction protein, CRP） and leukocyte （white blood cell, WBC） count levels, while sputum culture, chest X- ray, etc. checks. Results： PCT lung infection in patients with positive sputum culture in particular increased significantly, concentrations higher than 0.5 ng/ ml, the sensitivity of the diagnosis of chronic heart failure with pulmonary infection was 97% higher than the CRP and WBC. Conclusion： PCT as a judge of chronic heart failure with pulmonary infection early indicator, and may reflect the severity of dis- ease.

关 键 词：慢性心力衰竭 降钙素原 肺部感染 

分 类 号：R541.6[医药卫生—心血管疾病]