脓毒性休克患者降钙素原异常升高病例报告及文献复习  

A case of the septic shock with procalcitonin abnormally elevated and review of literature

作　　者：吴淼[1] 祁必富[1] 艾波[1] 任玮[1] 魏捷[1] 

机构地区：[1]武汉大学人民医院急诊科,武汉430060

出　　处：《临床急诊杂志》2017年第2期150-153,共4页Journal of Clinical Emergency

摘　　要：脓毒性休克是指由于脓毒症引起的休克，其常见表现是患者组织灌注不足，即给予充分液体复苏后仍出现持续低血压状态，具有病情凶险，病死率高的特点。目前已有大量研究证实，降钙素原（PCT）对脓毒性休克患者的病情程度判断及疗效评估存在较大价值，其诊断感染的敏感性高达86％～97％，特异性高达81％～100％。The purpose of this study was to analyze one case of the septic shock with procalcitonin abnormally elevated,and to review the features of procalcitonin and its application in sepsis.A septic shock patient whose procalcitonin abnormally elevated was analyzed retrospectively.The related literatures were reviewed to analyze.The pathogenic bacteria of this case was e.coli,we adjusted the antibiotic treatment program combined with the dynamic of procalcitonin,and the treatment effect was well.Procalcitonin has an important significance in diagnosis of bacterial sepsis.We can adjust the use of antibiotics and evaluate therapeutic effects and prognosis according to the change of PCT.

关 键 词：降钙素原 脓毒性休克 脓毒症 

分 类 号：R631[医药卫生—外科学]