PCT-闄嶉挋绱犲師娴嬪畾璇曞墏鐩?鑳朵钩鍏嶇柅姣旀祳娉?
--缁嗚弻鎰熸煋涓庤創姣掔棁璇婃柇鐨勬柊鎸囨爣锛屾寚瀵煎悎鐞嗕娇鐢ㄦ姉鐢熺礌鐨勯閫夋爣蹇楃墿
鏍锋湰绫诲瀷锛氳娓匋/p>
閫傜敤浠櫒锛氭湰璇曞墏鐩掗€傜敤浜庣粷澶у鏁颁富娴佺敓鍖栧垎鏋愪华
璇曞墏鐩掍紭鍔军/h4>
1.閲囩敤鑳朵钩鍏嶇柅姣旀祳娉曪紝鎻愰珮鐏垫晱搴﹀拰鐗瑰紓鎬?/p>
2.绾挎€ц寖鍥村锛?.2锝?0 ng/mL
鎸囨爣绠€浠婞/h3>
闄嶉挋绱犲師锛坧rocalcitonin锛孭CT锛夋槸闄嶉挋绱犵殑鍓嶄綋鐗╄川锛岀敱114~116涓皑鍩洪吀缁勬垚锛屾槸涓€绉嶆棤婵€绱犳椿鎬х硸铔嬬櫧锛屼富瑕佺敱绁炵粡鍐呭垎娉岀粏鑳烇紙鍖呮嫭鐢茬姸鑵恒€佽偤鍜岃儼鑵虹粍缁囩粏鑳烇級琛ㄨ揪锛岀粡閰跺垏鍒嗚В涓洪檷閽欑礌銆佺晶鍩虹鑲藉拰姘ㄥ熀绔偨銆侾CT鏄竴绉嶅厤鐤椿鎬ц泲鐧斤紝鍏剁敓鐗╂椿鎬у寘鎷厤鐤皟鑺傚拰璋冭妭琛€绠℃敹缂╃瓑[1]銆侾CT鍦ㄤ綋鍐呯ǔ瀹氭€уソ锛屽崐琛版湡涓?0-24h銆?993骞撮鍏堟彁鍑鸿娓匬CT鍙綔涓虹粏鑿屾劅鏌撴爣蹇楃墿銆傚仴搴蜂汉鐨勮娓匬CT娴撳害浣庝簬0.05μg/L锛涜€佸勾浜恒€佹參鎬х柧鐥呮偅鑰呬互鍙婁笉瓒?0%鐨勫仴搴蜂汉琛€娓匬CT娴撳害楂樹簬0.05μg/L锛屾渶楂樺彲杈?.1μg/L锛屼絾涓€鑸笉瓒呰繃0.3μg/L[2]銆侟/p>
妫€娴嬪師鐞咟/h3>
鏍锋湰涓殑PCT涓庤秴鏁忓寲鐨凱CT鎶椾綋鑳朵钩棰楃矑璇曞墏鍙嶅簲锛屽湪淇冨嚌鍓傝仛涔欎簩閱囦綔鐢ㄤ笅褰㈡垚鍏嶇柅澶嶅悎鐗╀骇鐢熸祳搴︼紝鍦ㄦ尝闀?00±20nm澶勫惛鍏夊害鍙樺寲鐨勫ぇ灏忥紝涓庢牱鏈腑鐨凱CT鍚噺鍛堟鐩稿叧銆侟/p>
涓村簥搴旂敤
- 缁嗚弻鎰熸煋鏃讹紝鏈轰綋閲婃斁鐨勭粏鑳炲洜瀛愪績浣縋CT鍗囬珮;鐩稿弽锛岀梾姣掓劅鏌撴椂锛屾満浣撻噴鏀剧殑γ骞叉壈绱犲皢闃绘柇PCT鐨勪骇鐢熴€傚洜姝わ紝琛€娓匬CT鍙敤浜庝复搴婄粏鑿屾劅鏌撳垽鏂紝涓旀瘮CRP鏇村叿鐗瑰紓鎬с€?013骞翠竴椤筂eta鍒嗘瀽鏄剧ず锛岃娓匬CT瀵硅創姣掔棁鐨勬棭鏈熻瘑鍒伒鏁忓害涓?7%锛岀壒寮傚害79%[3]銆侟/li>
- 鍋ュ悍浜鸿娓呬腑PCT鍚噺鏋佸皯(<0.10μg/L)锛岀ǔ瀹氭€уソ銆傜粏鑿屾劅鏌撱€佺湡鑿屾劅鏌撱€佺梾姣掓劅鏌撱€佸瘎鐢熻櫕鎰熸煋鎮ｈ€呰娓匬CT鍙湁涓嶅悓绋嬪害鍗囬珮锛岀壒鍒槸瀵瑰叏韬粏鑿屾劅鏌撶殑璇婃柇鍜屾帓闄ゅ潎鍏锋湁鑹ソ鐨勭伒鏁忓害鍜岀壒寮傚害锛屽彲鍖哄垎缁嗚弻鎰熸煋鍜岄潪缁嗚弻鎰熸煋锛岃€屽鏃犺弻鎬х値鐥囧弽搴斻€佽偪鐦ゆ垨鑷韩鍏嶇柅鎬х柧鐥呮棤鍙嶅簲鎴栦粎鏈夎交搴﹀弽搴旓紝鏁呭鎰熸煋鎬х柧鐥呴壌鍒拰涓村簥鎬濈淮鍏锋湁寰堝己鐨勬寚瀵兼€с€侟/li>
- 杩戜簺骞存潵锛屽浗鍐呭澶ч噺鐮旂┒灏哖CT搴旂敤浜庡績琛€绠″绉戞墜鏈偅鑰呭洿鏈湡鐨勯闄╄瘎浼般€傜爺绌惰〃鏄庯紝鐩告瘮WBC鍜孋RP绛夊父瑙勭値鐥囨寚鏍囷紝PCT瀵规湳鍚庢劅鏌撴湁鏇村ソ鐨勮瘖鏂晥鑳斤紝鐏垫晱搴﹀拰鐗瑰紓搴︽洿楂楙PCT涓嶄粎鏈夊姪浜庨娴嬫湳鍚庢劅鏌撳強闈炴劅鏌撴€у苟鍙戠棁锛岃繕鍙互鏈夋晥鎸囧鍥存湳鏈熸姉鐢熺礌娌荤枟鍙婇娴嬫偅鑰呯殑涓村簥棰勫悗[4]銆侟/li>
閫傜敤绉戝
|
閫傜敤绉戝 |
閫傛浜虹兢 |
|
鎬ヨ瘖绉慄/strong> |
鎬€鐤戞劅鏌撴垨涓嶆槑鍘熷洜鍙戠儹鎮ｈ€呯殑閴村埆璇婃柇 |
|
閲嶇棁鐩戞姢瀹わ紙ICU锛堻/strong> |
鑴撴瘨鐥囩殑璇婃柇銆佹不鐤楁晥鏋滅洃娴嬬瓑 |
|
鎰熸煋绉?鍎跨/鏂扮敓鍎跨 |
涓嶆槑鍘熷洜鍙戠儹鐨勬偅鍎裤€佺枒浼兼劅鏌撶殑閴村埆璇婃柇 |
|
鍛煎惛绉?鑲虹梾绉慄/strong> |
鍛煎惛绯荤粺鎰熸煋鐨勯壌鍒瘖鏂€佹不鐤楃洃娴嬨€佹姉鐢熺礌浣跨敤鐨勭鐞嗭細濡傜ぞ鍖鸿幏寰楁€ц偤鐐庛€佹參鎬ч樆濉炴€ц偤鐤剧梾 |
|
鏅€氬绉?鑳稿绉慄/strong> |
鎵嬫湳鍚庢槸鍚﹀彂鐢熺粏鑿屾劅鏌撶殑鐩戞祴 |
|
鍐呯/琛€娑茬 |
鍙戠儹鍙婄櫧缁嗚優寮傚父鐨勯壌鍒瘖鏂?/p> |
|
椋庢箍鍏嶇柅绉慄/strong> |
鑷韩鍏嶇柅鎬х柧鐥呬笌鎰熸煋鐨勯壌鍒瘖鏂?/p> |
|
鑲惧唴绉?娉屽翱澶栫 |
鑲剧値銆佸翱璺劅鏌撶殑妫€鏌?/p> |
鍙傝€冩枃鐚?/h3>
[1] 涓崕鍎跨鏉傚織, 涓?J., 琛€娓呴檷閽欑礌鍘熸娴嬪湪鍎跨鎰熸煋鎬х柧鐥呬腑鐨勪复搴婂簲鐢ㄤ笓瀹跺叡璇? 2019(1).
[2] 涓崕鎬ヨ瘖鍖诲鏉傚織, 闄?J., 闄嶉挋绱犲師鍦ㄦ垚浜轰笅鍛煎惛閬撴劅鏌撴€х柧鐥呭垎绾х鐞嗕腑鐨勫簲鐢ㄤ笓瀹跺叡璇? 2021. 30(4): p. 9.
[3] Wacker, C., et al., Procalcitonin as a diagnostic marker for sepsis: a systematic review and meta-analysis. Lancet Infect Dis, 2013. 13(5): p. 426-35.
[4] 鐧芥澗鏉? 鏇惧啺, and 榛?J. 涓浗鍒嗗瓙蹇冭剰鐥呭鏉傚織, 闄嶉挋绱犲師鍦ㄥ績琛€绠″绉戞墜鏈洿鏈湡鐨勪复搴婂簲鐢ㄨ繘灞? 2021.
鎸囧崡鍏辫瘑
