会议论文

Role of procalcitonin on the evaluation of prognosis in aged patients with severe community - acquired pneumonia

中文

中国急救医学

Chinese Journal of Critical Care Medicine

1002-1949

2011

26

7

587-590

10.3969/j.issn.1002-1949.2011.07.004

基金项目：上海市浦东新区中青年骨干人才计划资助项目（No.PWGG09-2）

本校为其他机构

目的 研究血清降钙素原(procalcitonin,PCT)对老年重症社区获得性肺炎(severe community-acquired pneumonia,SCAP)预后的评估价值.方法 对40例老年SCAP患者进行急性生理和慢性健康状况评分Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)和临床肺部感染评分(clinical pulmonary infection score,CPIS),测定入组时、24 h和72 h血清PCT水平,根据28 d预后分为生存组和死亡组,绘制受试者生存曲线,计算曲线下面积.结果 所有患者随访28 d,死亡率22.5%.生存组入组时APACHEⅡ评分、CPIS评分及PCT水平均显著低于死亡组(P＜0.05或P＜0.01).生存组入组后24、72 h PCT水平均显著低于死亡组...

Objective To study the value of serum procalcitonin （PCT） in evaluating the prognosis of aged patients with severe community - acquired pneumonia（SCAP）. Methods In 40 aged SCAP patients, the scores of acute physiology and chronic health evaluation II （ APACHE 11 ） and clinical pulmonary infection score （CPIS） were evaluated. The serum PCT levels were measured at baseline, 24 and 72 h after admission. The patients were divided into the survivor group and the non - survivor group according 28 - day prognosis. The value of plasma PCT in pr...