{"id":125227,"date":"2019-09-16T11:50:50","date_gmt":"2020-04-21T02:06:10","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/125227\/"},"modified":"2020-04-21T10:06:13","modified_gmt":"2020-04-21T02:06:13","slug":"731710d85f","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/125227\/","title":{"rendered":"\u8840\u964d\u9499\u7d20\u539f\u5347\u9ad8\uff0c\u5c31\u4e00\u5b9a\u662f\u7ec6\u83cc\u611f\u67d3\u5417\uff1f"},"content":{"rendered":"
\n

\u672c\u6587\u4f5c\u8005\uff1a\u513f\u79d1\u9171\u8461\u8404<\/span><\/p>\n


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\u964d\u9499\u7d20\u539f<\/span>\uff08procalcitonin\uff0c PCT\uff09<\/span>\u662f\u964d\u9499\u7d20\u7684\u524d\u80bd\uff0c\u6b63\u5e38\u60c5\u51b5\u4e0b\u5728\u8840\u6db2\u4e2d\u6d53\u5ea6\u5f88\u4f4e\u3002\u5728\u4ee5\u5f80\u4e34\u5e8a\u5b9e\u8df5\u4e2d\uff0cPCT \u5e38\u4f5c\u4e3a\u7ec6\u83cc\u3001\u771f\u83cc\u3001\u5bc4\u751f\u866b\u611f\u67d3\u4ee5\u53ca\u8113\u6bd2\u75c7\u548c\u591a\u810f\u5668\u529f\u80fd\u8870\u7aed\u7684\u5b9e\u9a8c\u5ba4\u6307\u6807\uff0c\u4e14\u5df2\u5f97\u5230\u5b66\u672f\u754c\u666e\u904d\u7684\u8ba4\u53ef\u3002<\/span><\/p>\n


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\u4f46\u968f\u7740\u4e34\u5e8a\u7814\u7a76\u7684\u6df1\u5165\uff0c\u5728\u5f88\u591a\u513f\u7ae5\u975e\u7ec6\u83cc\u611f\u67d3<\/strong>\u578b\u75be\u75c5\u4e2d\uff0c\u4e5f\u53d1\u73b0\u6709 PCT \u4e0d\u540c\u7a0b\u5ea6\u7684\u5347\u9ad8\uff0c\u751a\u81f3\u5347\u9ad8\u663e\u8457\u3002\u90a3\u4e48\uff0cPCT \u5728\u5404\u7c7b\u611f\u67d3\u4e2d\u7684\u610f\u4e49\u5230\u5e95\u6709\u54ea\u4e9b\u5462\uff1f<\/span><\/p>\n


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PCT \u5728\u7ec6\u83cc\u611f\u67d3\u4e2d\u7684\u610f\u4e49\u662f\u4ec0\u4e48\uff1f<\/span><\/strong><\/span><\/span><\/p>\n


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PCT \u662f\u7ec6\u83cc\u611f\u67d3\u6027\u6307\u6807\uff0c<\/span>\u5728\u6b63\u5e38\u4eba\u4f53\u4e2d\u5176\u6c34\u5e73\u6781\u4f4e\u3002\u7ec6\u83cc\u611f\u67d3\u523a\u6fc0\u540e\u53ef\u7531\u7532\u72b6\u817a\u3001\u80f0\u817a\u7ec4\u7ec7\u7684 C \u7ec6\u80de\u7b49\u795e\u7ecf\u5185\u5206\u6ccc\u7ec6\u80de\u5206\u6ccc\uff0c\u968f\u611f\u67d3\u7684\u8fdb\u5c55\u60c5\u51b5\u800c\u6539\u53d8\u3002<\/span><\/p>\n


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\u4eba\u4f53\u53d7\u5230\u7ec6\u83cc\u611f\u67d3\u540e\uff0cPCT \u5728\u5168\u8eab\u708e\u75c7\u53cd\u5e94\u540e\u7684 2\uff5e4 h \u5f00\u59cb\u5347\u9ad8\uff0c24\uff5e48 h \u5230\u8fbe\u5cf0\u503c\uff0c\u5728\u8fbe\u5230\u9ad8\u5cf0\u540e\u5176\u534a\u8870\u671f\u4e3a 12\uff5e24 h\u3002PCT \u5728\u8840\u6e05\u4e2d\u975e\u5e38\u7a33\u5b9a\uff0c\u4e0d\u53d7\u4f53\u5185\u6fc0\u7d20\u6c34\u5e73\u7684\u5f71\u54cd\u3002<\/span><\/p>\n


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\u975e\u7ec6\u83cc\u611f\u67d3 PCT \u5347\u9ad8\u7684\u60c5\u51b5\u6709\u54ea\u4e9b\uff1f<\/span><\/strong><\/span><\/p>\n


<\/span><\/strong><\/span><\/p>\n

1. \u5ddd\u5d0e\u75c5\uff1a<\/span><\/strong><\/span><\/p>\n


<\/p>\n

\u6709\u90e8\u5206\u7814\u7a76\u8868\u660e\uff1a<\/span><\/p>\n


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\uff081\uff09\u5ddd\u5d0e\u75c5\u60a3\u513f\u8840\u6e05 PCT \u6c34\u5e73\u660e\u663e\u9ad8\u4e8e\u6b63\u5e38\uff0c\u5e76\u63d0\u51fa PCT>3ug\/L \u662f\u60a3\u513f\u5408\u5e76\u51a0\u72b6\u52a8\u8109\u75c5\u53d8\u7684\u4e34\u754c\u503c\uff1b<\/span><\/p>\n


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\uff082\uff09\u6cbb\u7597\u524d\u5b8c\u5168\u6027\u5ddd\u5d0e\u75c5\u60a3\u513f PCT \u6c34\u5e73\u5728\u6025\u6027\u671f\u5747\u660e\u663e\u9ad8\u4e8e\u4e0d\u5b8c\u5168\u6027\u5ddd\u5d0e\u75c5\uff1b<\/span><\/p>\n


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\uff083\uff09\u5408\u5e76\u51a0\u72b6\u52a8\u8109\u7624\u60a3\u513f\u8840\u6e05 PCT \u503c\u9ad8\u4e8e\u65e0\u51a0\u72b6\u52a8\u8109\u7624\u60a3\u513f\u3002<\/span><\/p>\n


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2. \u6025\u6027\u75c5\u6bd2\u6027\u8179\u6cfb\u75c5<\/span><\/strong><\/span><\/p>\n


<\/p>\n

\u6709\u90e8\u5206\u7814\u7a76\u8868\u660e\uff1a<\/span><\/p>\n


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\uff081\uff09\u8f6e\u72b6\u75c5\u6bd2\u611f\u67d3\u540e\u8840\u6e05 PCT \u5347\u9ad8\u65f6\u63d0\u793a\u8f6e\u72b6\u75c5\u6bd2\u611f\u67d3\u53ef\u80fd\u5f15\u8d77\u80a0\u5916\u591a\u4e2a\u810f\u5668\u529f\u80fd\u635f\u5bb3\uff1b<\/span><\/p>\n


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\uff082\uff09\u60a3\u513f PCT \u6c34\u5e73\u5347\u9ad8\u53ef\u80fd\u4e0e\u5668\u5b98\u704c\u6ce8\u4e0d\u8db3\u65f6\u4fc3\u8fdb\u5168\u8eab\u810f\u5668\u7ec4\u7ec7\u7279\u522b\u662f\u80a0\u9053\u5185\u795e\u7ecf-\u5185\u5206\u6ccc\u7ec6\u80de\u5927\u91cf\u91ca\u653e PCT \u6709\u5173\uff0c\u5c24\u5176\u5728\u4f34\u968f\u8840\u5bb9\u91cf\u4e0d\u8db3\u3001\u4f11\u514b\u6216 MODS \u60a3\u513f\u4e2d PCT \u6c34\u5e73\u660e\u663e\u5347\u9ad8\uff0c\u63d0\u793a PCT \u68c0\u6d4b\u5bf9\u7ec6\u83cc\u67d3\u6027\u80a0\u708e\u7684\u8bca\u65ad\u53ef\u80fd\u7f3a\u4e4f\u7279\u5f02\u6027\u3002<\/span><\/p>\n


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3. \u65b0\u751f\u513f\u51fa\u751f\u65e9\u671f<\/span><\/strong><\/span><\/p>\n


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\uff081\uff09\u751f\u540e\u53d7\u591a\u79cd\u56e0\u7d20\u5f71\u54cd\uff0cPCT \u6709\u4e0d\u540c\u7a0b\u5ea6\u7684\u751f\u7406\u6027\u5347\u9ad8\uff0c\u65e9\u4ea7\u65b0\u751f\u513f\u548c\u8db3\u6708\u65b0\u751f\u513f PCT \u5347\u9ad8\u60c5\u51b5\u6709\u6240\u533a\u522b\uff1b<\/span><\/p>\n


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\u6709\u7814\u7a76\u8868\u660e\uff1a\u8db3\u6708\u65b0\u751f\u513f\u751f\u540e 24h PCT \u53ef\u8fbe\u9ad8\u5cf0\uff0c\u6700\u9ad8 20ug\/L\uff0c\u540e\u9010\u6e10\u4e0b\u964d\uff0c\u751f\u540e\u7b2c 4 \u5929\u4e0e\u513f\u7ae5\u6b63\u5e38\u6c34\u5e73\u76f8\u4eff\uff1b\u65e9\u4ea7\u513f\u751f\u540e 28h \u53ef\u8fbe\u9ad8\u5cf0\uff0c\u5cf0\u503c\u8f83\u8db3\u6708\u513f\u4f4e\uff0c\u6b64\u540e\u9010\u6e10\u4e0b\u964d\uff0c\u81f3 72h \u5de6\u53f3\u4e0e\u8db3\u6708\u513f\u6570\u503c\u76f8\u5f53\u3002<\/span><\/p>\n


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\uff082\uff09\u51fa\u751f\u65e9\u671f\u514d\u75ab\u7cfb\u7edf\u53d1\u80b2\u5c1a\u672a\u5b8c\u5584\uff0c\u62b5\u6297\u529b\u8f83\u4f4e\uff0c\u611f\u67d3\u6027\u75be\u75c5\u6982\u7387\u8f83\u9ad8\uff0c\u5176\u4e2d\u91cd\u75c7\u7ec6\u83cc\u611f\u67d3\u6240\u81f4\u7684\u8113\u6bd2\u75c7\u6216\u8113\u6bd2\u6027\u4f11\u514b\u6700\u4e3a\u5e38\u89c1\u3002<\/span><\/p>\n


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4. \u6342\u70ed\u7efc\u5408\u5f81\uff08IMS\uff09<\/span><\/strong><\/span><\/p>\n


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\uff081\uff09\u6342\u70ed\u7b49\u9020\u6210\u7684\u7f3a\u6c27\u3001\u56e0\u9ad8\u70ed\u7b49\u5bfc\u81f4\u7684\u6709\u6548\u5faa\u73af\u8840\u91cf\u51cf\u5c11\u3001\u7ec4\u7ec7\u4f4e\u704c\u6ce8\u548c\u5fae\u5faa\u73af\u969c\u788d\uff0cMODs \u662f\u5e38\u89c1\u7684\u5e76\u53d1\u75c7\uff1b<\/span><\/p>\n


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\uff082\uff09<\/span>\u975e\u611f\u67d3\u6027\u75be\u75c5\uff0c\u4f46\u60a3\u513f\u7684 PCT \u660e\u663e\u589e\u9ad8\uff0c\u53ef\u80fd\u4e0e IMS \u75c5\u7406\u8fc7\u7a0b\u4e2d\u6025\u6027\u5e94\u6fc0\u548c\u708e\u75c7\u56e0\u5b50\u6fc0\u6d3b\u6709\u5173\uff1b<\/span><\/p>\n


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\uff083\uff09\u53ef\u80fd\u5b58\u5728\u5168\u8eab\u708e\u75c7\u53cd\u5e94\u7efc\u5408\u75c7<\/span>(SIRS)<\/span>\u548c\u708e\u6027\u635f\u4f24\uff0cPCT \u4f5c\u4e3a\u4e00\u9879\u708e\u75c7\u6307\u6807\uff0c\u503c\u9ad8\u4f4e\u53ef\u80fd\u4e0e\u60a3\u513f\u75c5\u60c5\u7684\u4e25\u91cd\u7a0b\u5ea6\u6709\u5173\uff0c\u53ef\u65e9\u671f\u9884\u6d4b MODS \u7684\u53d1\u751f\u3002<\/span><\/p>\n


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5. \u767e\u8349\u67af\u4e2d\u6bd2<\/span><\/strong><\/span><\/p>\n


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\uff081\uff09\u5e38\u7d2f\u53ca\u591a\u4e2a\u5668\u5b98\uff0c\u751a\u81f3\u6b7b\u4e8e SIRS \u53ca MODs\uff1b<\/span><\/p>\n


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\uff082\uff09\u6709\u7814\u7a76\u663e\u793a\uff0c\u60a3\u8005\u65e9\u671f PCT \u6c34\u5e73\u4e0e\u4e2d\u6bd2\u5242\u91cf\u53ca\u5c3f\u767e\u8349\u67af\u6d53\u5ea6\u5448\u663e\u8457\u76f8\u5173\u6027\uff0c\u53ef\u4f5c\u4e3a\u53cd\u6620\u767e\u8349\u67af\u4e2d\u6bd2\u4e25\u91cd\u7a0b\u5ea6\u7684\u6307\u5f81\u3002<\/span><\/p>\n


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\uff083\uff09PCT \u5347\u9ad8\u53ef\u80fd\u4e0e\u4f53\u5185\u7ec4\u7ec7\u7ec6\u80de\u7834\u574f\uff0c\u7ee7\u53d1\u5c40\u90e8\u6216\u5168\u8eab\u708e\u75c7\u53cd\u5e94\uff0c<\/span>\u523a\u6fc0\u673a\u4f53\u4ea7\u751f\u5927\u91cf\u7684\u708e\u75c7\u4ecb\u8d28<\/span>(I-6\u3001TNF-a)<\/span>\u7b49\u5bfc\u81f4 PCT \u5347\u9ad8\u6709\u5173\uff0cPCT \u8d8a\u9ad8\uff0c\u63d0\u793a\u75c5\u60c5\u8d8a\u91cd\uff0c\u9884\u540e\u8d8a\u5dee\u3002<\/span><\/p>\n


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6. \u591a\u53d1\u4f24\u548c\u672f\u540e<\/span><\/strong><\/span>
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\uff081\uff09\u521b\u4f24\u548c\u672f\u540e\u5f15\u8d77 PCT \u53d8\u5316\u7684\u539f\u56e0\u5c1a\u672a\u5b8c\u5168\u9610\u660e\uff0c\u6709\u7814\u7a76\u8868\u660e\u521b\u4f24\u540e IL-2\u3001I-6\u3001TNF-a \u548c\u690d\u7269\u8840\u51dd\u7d20\u7b49\u53ef\u8bf1\u5bfc\u548c\u523a\u6fc0 PCT \u7684\u4ea7\u751f\uff0c\u4f46\u6b64\u8fc7\u7a0b\u662f\u4e00\u79cd\u65f6\u95f4\u4f9d\u8d56\u6027\u7ec6\u80de\u6d3b\u5316\u6a21\u5f0f\uff1b<\/span><\/p>\n


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\uff082\uff09PCT \u7684\u4e8c\u6b21\u5347\u9ad8\u63d0\u793a\u91cd\u5927\u521b\u4f24\u540e SIRS \u671f\u95f4\u5e76\u53d1\u8113\u6bd2\u75c7\u53ef\u80fd\u3002<\/span><\/p>\n


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\u8bfb PCT \u5316\u9a8c\u5355\uff0c\u5e94\u6ce8\u610f\u4ec0\u4e48\uff1f<\/span><\/strong><\/span><\/span><\/p>\n


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\u611f\u67d3\u65e9\u671f\u4e0d\u80fd\u53ca\u65f6\u4f7f\u7528\u6297\u83cc\u836f\u7269\uff0c\u4ee5\u53ca\u6297\u83cc\u836f\u7269\u7684\u6ee5\u7528\uff0c\u662f\u513f\u79d1\u6240\u9762\u4e34\u7684\u4e24\u5927\u95ee\u9898\u3002<\/span><\/p>\n


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\uff081\uff09 PCT \u9ad8\u65f6\uff0c\u5f80\u5f80\u8003\u8651\u7ec6\u83cc\u6027\u611f\u67d3\uff0c\u5e76\u91c7\u53d6\u6297\u83cc\u836f\u7269\u7684\u6cbb\u7597\u65b9\u6848\uff0c\u5373\u9009\u62e9\u5e7f\u8c31\u6297\u83cc\u836f\u7269\uff0c\u8fd9\u79cd\u65b9\u6cd5\u4e0d\u80fd\u8986\u76d6\u611f\u67d3\u7684\u75c5\u539f\u83cc\uff0c\u4e0d\u80fd\u53ca\u65f6\u6709\u6548\u63a7\u5236\u611f\u67d3\uff0c\u751a\u81f3\u5bb9\u6613\u9020\u6210\u6297\u83cc\u836f\u7269\u7684\u6ee5\u7528\u3002<\/span><\/p>\n


<\/p>\n

\uff082\uff09\u975e\u611f\u67d3\u6027\u56e0\u7d20\u5982\u6025\u6027\u80f0\u817a\u708e\u3001\u521b\u4f24\u3001\u7f3a\u8840\u518d\u704c\u6ce8\u7b49\u540c\u6837\u53ef\u51fa\u73b0\u5168\u8eab\u708e\u75c7\u53cd\u5e94\u7efc\u5408\u75c7\uff08SIRS\uff09\u800c\u5f15\u8d77\u7684 PCT \u5347\u9ad8\u3002<\/span><\/p>\n


<\/p>\n

\uff083\uff09\u68c0\u6d4b PCT \u53ef\u7528\u4e8e\u5224\u65ad\u662f\u5426\u5b58\u5728\u7ec6\u83cc\u611f\u67d3\uff0c\u4ee5\u53ca\u662f\u5426\u9700\u8981\u6297\u83cc\u836f\u7269\u6cbb\u7597\u7684\u60c5\u51b5\u5982\u4e0b\uff1a<\/span><\/strong><\/p>\n


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\"\u8840\u964d\u9499\u7d20\u539f\u5347\u9ad8\uff0c\u5c31\u4e00\u5b9a\u662f\u7ec6\u83cc\u611f\u67d3\u5417\uff1f\"<\/section>\n

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<\/section>\n

<\/strong><\/span><\/p>\n

PCT \u8840\u6e05\u964d\u9499\u7d20\u539f\u68c0\u6d4b\u5728\u513f\u7ae5\u611f\u67d3\u6027\u75be\u75c5\u4e2d 8 \u5927\u5efa\u8bae\uff1f<\/span><\/strong><\/span><\/span><\/p>\n


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\uff081\uff09\u8840\u6e05 PCT \u662f\u65e9\u671f\u3001\u4e25\u91cd\u3001\u4fb5\u88ad\u6027\u7ec6\u83cc\u611f\u67d3\u7684\u6807\u5fd7\u7269\uff0c\u4f5c\u4e3a\u513f\u7ae5\u7ec6\u83cc\u6027\u611f\u67d3\u75be\u75c5\u73b0\u6709\u7684\u53ef\u9760\u8bca\u65ad\u6307\u6807\uff0c\u8fd8\u53ef\u7528\u4e8e\u5224\u65ad\u9884\u540e\u548c\u6307\u5bfc\u6297\u83cc\u836f\u7269\u5e94\u7528\uff1b\u53ef\u4f5c\u4e3a\u5224\u65ad\u611f\u67d3\u6027\u8d28\u7684\u8f85\u52a9\u68c0\u6d4b\uff0c\u4e5f\u53ef\u4ee5\u4e0e\u5916\u5468\u8840\u767d\u7ec6\u80de\u8ba1\u6570\uff08WBC\uff09\u3001\u8840\u6e05 C \u53cd\u5e94\u86cb\u767d\uff08CRP\uff09\u3001\u767d\u7ec6\u80de\u4ecb\u7d20 6\uff08IL-6\uff09\u7b49\u8054\u5408\u8003\u8651\uff0c\u63d0\u9ad8\u8bca\u65ad\u7075\u654f\u5ea6\u548c\u7279\u5f02\u5ea6\uff1b<\/span><\/p>\n


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\uff082\uff09\u8840\u6e05 PCT>2.00 \u03bcg\/L \u65f6\uff0c\u9ad8\u5ea6\u6000\u7591\u5168\u8eab\u7ec6\u83cc\u611f\u67d3\uff0c<\/strong>\u5c24\u5176\u662f G-\u83cc\u611f\u67d3\uff0c<\/strong>\u9700\u8003\u8651\u8113\u6bd2\u75c7\u5e76\u63d0\u793a\u75c5\u60c5\u4e25\u91cd\uff0c\u63d0\u793a\u4e34\u5e8a\u533b\u5e08\u5e94\u53ca\u65f6\u5c06\u60a3\u513f\u6536\u4f4f PICU \u6cbb\u7597\uff0c\u6307\u5bfc\u65e9\u671f\u7ecf\u9a8c\u6027\u6297\u83cc\u836f\u7269\u9009\u62e9\u4e0e\u5e94\u7528\uff1b<\/span><\/p>\n


<\/span><\/p>\n

\uff083\uff09\u8840\u6e05 PCT>0.50 \u03bcg\/L \u65f6\uff0c\u5e94\u5f53\u6839\u636e\u513f\u7ae5\u4e0d\u540c\u5668\u5b98\u7cfb\u7edf\u7684\u611f\u67d3\u7279\u5f81\uff0c\u7ed3\u5408\u4e34\u5e8a\u8868\u73b0\uff0c\u79ef\u6781\u660e\u786e\u611f\u67d3\u7684\u5b58\u5728\uff0c\u5982\u793e\u533a\u83b7\u5f97\u6027\u80ba\u708e\uff08<\/span>CAP\uff09\u3001\u7ec6\u83cc\u6027\u8111\u819c\u708e\u3001\u7ec6\u83cc\u6027\u5fc3\u5185\u819c\u708e\u3001\u6ccc\u5c3f\u7cfb\u7edf\u611f\u67d3\u7b49\u3002\u4f46\u8840\u6e05 PCT \u6b63\u5e38\u6216<0.50 \u03bcg\/L \u65f6\uff0c\u4e0d\u80fd\u4f5c\u4e3a\u6392\u9664\u8bca\u65ad\u7684\u6807\u51c6\u3002<\/span><\/p>\n


<\/span><\/p>\n

\uff084\uff09\u8840\u6e05 PCT<0.05 \u03bcg\/L \u65f6\u591a\u4e0d\u652f\u6301\u7ec6\u83cc\u611f\u67d3\uff1b\u4f46\u5c40\u90e8\u611f\u67d3\u5982\u7eb5\u9694\u708e\u3001\u8113\u80f8\u6216\u8113\u80bf\u4e5f\u53ef\u80fd\u53d1\u751f\u5047\u9634\u6027\u3002\u603b\u4f53\u800c\u8a00\uff0c\u5728\u533a\u522b\u7ec6\u83cc\u6027\u548c\u75c5\u6bd2\u6027\u611f\u67d3\u65f6\uff0c\u8840\u6e05 PCT \u7684\u7279\u5f02\u5ea6\u3001\u7075\u654f\u5ea6\u53ca\u9884\u6d4b\u503c\u5747\u4f18\u4e8e\u5176\u4ed6\u708e\u75c7\u6307\u6807\u3002<\/strong>\u4f46\u5728 PICU \u60a3\u513f\u4e2d\uff0c\u53ef\u80fd\u5b58\u5728\u591a\u79cd\u56e0\u7d20\u6240\u81f4\u7684\u4e25\u91cd\u708e\u75c7\u53cd\u5e94\uff0c\u6545\u4e0d\u80fd\u5355\u72ec\u4f9d\u636e\u8840\u6e05 PCT \u5347\u9ad8\u9274\u522b\u7ec6\u83cc\u611f\u67d3\u6216\u975e\u7ec6\u83cc\u611f\u67d3\uff1b<\/strong><\/span><\/p>\n


<\/span><\/p>\n

\uff085\uff09\u91cd\u75c7\u60a3\u513f\u8840\u6e05 PCT \u52a8\u6001\u76d1\u6d4b\u662f\u5fc5\u8981\u7684\uff0c\u53ef\u8bc4\u4f30\u662f\u5426\u4e3a\u4e25\u91cd\u4fb5\u88ad\u6027\u7ec6\u83cc\u611f\u67d3\uff0c\u4e5f\u53ef\u8bc4\u4f30\u75c5\u60c5\u4e25\u91cd\u7a0b\u5ea6\uff0c\u540c\u65f6\u53ef\u5224\u65ad\u6cbb\u7597\u6548\u679c\u3002<\/span><\/p>\n


<\/span><\/p>\n

\uff086\uff09\u4e3a\u5408\u7406\u5e94\u7528\u6297\u83cc\u836f\u7269\uff0c\u8840\u6e05 PCT \u6709\u52a9\u4e8e\u660e\u786e\u6216\u6392\u9664\u7ec6\u83cc\u611f\u67d3\uff0c\u6cbb\u7597\u8fc7\u7a0b\u4e2d\u9700\u52a8\u6001\u76d1\u6d4b\u786e\u5b9a\u6297\u83cc\u836f\u7269\u7684\u6cbb\u7597\u9002\u5e94\u8bc1\u548c\u4f18\u5316\u4f7f\u7528\u7597\u7a0b\u3002\u5f53\u8840\u6e05 PCT<0.25 \u03bcg\/L \u6392\u9664\u7ec6\u83cc\u611f\u67d3\u65f6\u4e0d\u4f7f\u7528\u6297\u83cc\u836f\u7269\uff1b\u6cbb\u7597\u540e\u5f53\u8840\u6e05 PCT<0.50 \u03bcg\/L \u6216\u5cf0\u503c\u964d\u4f4e\u5e45\u5ea6\u226580%\uff0c\u4e34\u5e8a\u75c7\u72b6\u6d88\u5931\uff0c\u75c5\u60c5\u7a33\u5b9a\uff0c\u5efa\u8bae\u8003\u8651\u505c\u7528\u6297\u83cc\u836f\u7269\uff1b<\/span><\/p>\n


<\/span><\/p>\n

\uff087\uff09\u867d\u7136\u65b0\u751f\u513f\u65e9\u671f\u5f71\u54cd\u8840\u6e05 PCT \u7684\u56e0\u7d20\u8f83\u591a\uff0c\u4f46\u8840\u6e05 PCT \u4f5c\u4e3a\u7ec6\u83cc\u611f\u67d3\u6807\u5fd7\u7269\uff0c\u5728\u6307\u5bfc\u6297\u83cc\u836f\u7269\u5e94\u7528\u65b9\u9762\u5177\u6709\u4ef7\u503c\uff1b<\/span><\/p>\n


<\/span><\/p>\n

\uff088\uff09\u7528\u4e8e\u533b\u9662\u611f\u67d3\u8bca\u65ad\u6216\u6392\u9664\u76f8\u5173\u75be\u75c5\u3001\u5224\u65ad\u75be\u75c5\u4e25\u91cd\u7a0b\u5ea6\u65f6\uff0c\u5b9a\u91cf\u68c0\u6d4b\u7684\u610f\u4e49\u8f83\u5927\uff1b\u5728\u57fa\u5c42\u793e\u533a\u548c\u5e8a\u8fb9\u5feb\u901f\u68c0\u6d4b\u7528\u4e8e\u521d\u7b5b\u65f6\uff0c\u53ef\u4ee5\u4f7f\u7528\u5b9a\u6027\u68c0\u6d4b\u6216\u534a\u5b9a\u91cf\u68c0\u6d4b\u3002\u5efa\u8bae\u68c0\u6d4b\u8840\u6837\u6807\u672c\uff0c\u76ee\u524d\u4e0d\u63a8\u8350\u8111\u810a\u6db2\u6216\u5176\u4ed6\u4f53\u6db2\u6807\u672c\u3002<\/span><\/p>\n


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\u8840\u6e05\u964d\u9499\u7d20\u539f\u68c0\u6d4b\u7528\u4e8e\u611f\u67d3\u76f8\u5173\u75be\u75c5\u9274\u522b\u8bca\u65ad<\/span><\/strong><\/span><\/span><\/p>\n


<\/span><\/p>\n

\"\u8840\u964d\u9499\u7d20\u539f\u5347\u9ad8\uff0c\u5c31\u4e00\u5b9a\u662f\u7ec6\u83cc\u611f\u67d3\u5417\uff1f\"<\/p>\n

\uff08\u4e0a\u56fe\u6765\u6e90\u4e8e\u8840\u6e05\u964d\u9499\u7d20\u539f\u68c0\u6d4b\u5728\u513f\u7ae5\u611f\u67d3\u6027\u75be\u75c5\u4e2d\u7684\u4e34\u5e8a\u5e94\u7528\u4e13\u5bb6\u5171\u8bc6\uff09<\/span><\/span><\/p>\n


<\/span><\/p>\n

PCT \u4f5c\u4e3a\u513f\u7ae5\u7ec6\u83cc\u6027\u611f\u67d3\u75be\u75c5\u7684\u53ef\u9760\u8bca\u65ad\u6307\u6807\uff0c\u4f7f\u7528\u60c5\u51b5\u548c\u6ce8\u610f\u4e8b\u9879\u5343\u4e07\u8981\u8bb0\u6e05\u3002<\/span><\/p>\n


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\u964d\u9499\u7d20\u539f\u5347\u9ad8\u7684\u9274\u522b\u8bca\u65ad<\/span><\/p>\n

\u4f60\u6709\u54ea\u4e9b\u7ecf\u9a8c\uff1f
<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n


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\u672c\u6587\u9996\u53d1\uff1a\u513f\u79d1\u65f6\u95f4<\/span>
<\/p>\n

\u8d23\u4efb\u7f16\u8f91\uff1a\u5468\u840c\u840c\u3001\u5468\u60a6<\/span><\/p>\n

\u9898\u56fe\u6765\u6e90\uff1a\u56fe\u866b\u521b\u610f<\/span><\/p>\n

\"\u8840\u964d\u9499\u7d20\u539f\u5347\u9ad8\uff0c\u5c31\u4e00\u5b9a\u662f\u7ec6\u83cc\u611f\u67d3\u5417\uff1f\"<\/p>\n

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\"\u8840\u964d\u9499\u7d20\u539f\u5347\u9ad8\uff0c\u5c31\u4e00\u5b9a\u662f\u7ec6\u83cc\u611f\u67d3\u5417\uff1f\"<\/p>\n

\"\u8840\u964d\u9499\u7d20\u539f\u5347\u9ad8\uff0c\u5c31\u4e00\u5b9a\u662f\u7ec6\u83cc\u611f\u67d3\u5417\uff1f\"<\/section>\n

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\u53c2\u8003\u6765\u6e90\uff08\u5411\u4e0b\u6eda\u52a8\uff09<\/span><\/span><\/p>\n

[1] \u8840\u6e05\u964d\u9499\u7d20\u539f\u68c0\u6d4b\u5728\u513f\u7ae5\u611f\u67d3\u6027\u75be\u75c5\u4e2d\u7684\u4e34\u5e8a\u5e94\u7528\u4e13\u5bb6\u5171\u8bc6.2019<\/span>\/<\/span><\/p>\n

[2] \u964d\u9499\u7d20\u539f\u6025\u8bca\u4e34\u5e8a\u5e94\u7528\u4e13\u5bb6\u5171\u8bc6\u7ec4. \u964d\u9499\u7d20\u539f\uff08PCT\uff09\u6025\u8bca\u4e34\u5e8a\u5e94\u7528\u7684\u4e13\u5bb6\u5171\u8bc6 [J].\u4e2d\u534e\u6025\u8bca\u533b\u5b66\u6742\u5fd7\uff0c2012\uff0c 21( 9) : 944-951<\/span><\/p>\n

[3] \u674e\u8363\uff0c\u5f6d\u5f00\u52e4\uff0c\u8d75\u5efa\u56fd\uff0c\u7b49. \u964d\u9499\u7d20\u539f\u68c0\u6d4b\u5224\u65ad\u666e\u901a\u5916\u79d1\u611f\u67d3\u7684\u4e34\u5e8a\u7814\u7a76[J].\u4e2d\u534e\u5b9e\u9a8c\u5916\u79d1\u6742\u5fd7\uff0c2014\uff0c31( 8) : 1794-1796\uff0e<\/span><\/p>\n

[4] \u5f20\u65b0\u840d, \u8096\u653f\u8f89. \u5a74\u513f\u6342\u70ed\u7efc\u5408\u5f81\u8840\u964d\u9499\u7d20\u539f\u589e\u9ad8\u7684\u610f\u4e49[J].\u4e2d\u56fd\u5c0f\u513f\u6025\u6551\u533b\u5b66,2015,22(5):313-315,319.<\/span><\/p>\n

[5] \u90b9\u5ce5, \u5218\u5c0f\u60e0, \u6bb5\u541b\u51ef, \u7b49. \u5a74\u513f\u6342\u70ed\u7efc\u5408\u5f81\u5916\u5468\u8840\u5355\u4e2a\u6838\u7ec6\u80de\u6838\u56e0\u5b50-\u03baB \u6d3b\u5316\u53ca\u8840\u6e05\u767d\u7ec6\u80de\u4ecb\u7d20-17 \u7b49\u708e\u75c7\u56e0\u5b50\u53d8\u5316\u7684\u4e34\u5e8a\u610f\u4e49 [J]. \u4e2d\u56fd\u5c0f\u513f\u6025\u6551\u533b\u5b66,2012,19(4):364-367.<\/span><\/p>\n

[6] \u8d3a\u5f6c. \u964d\u9499\u7d20\u539f\u5728\u5c0f\u513f\u8113\u6bd2\u75c7\u4e2d\u7684\u5e94\u7528 [J]. \u4e2d\u56fd\u5c0f\u513f\u6025\u6551\u533b\u5b66,2013,20(3):324-326.<\/span><\/p>\n

[7] \u6b66\u5b87\u8f89, \u6768\u71d5\u6f9c, \u5f20\u857e, \u7b49. \u8840\u6e05\u964d\u9499\u7d20\u539f\u5728\u513f\u7ae5\u6025\u6027\u75c5\u6bd2\u6027\u8179\u6cfb\u75c5\u4e2d\u7684\u4e34\u5e8a\u4ef7\u503c\u63a2\u8ba8 [J]. \u4e2d\u56fd\u5c0f\u513f\u6025\u6551\u533b\u5b66,2016,23(12):830-833.<\/span><\/p>\n

[8] \u5f20\u6653\u51e1, \u674e\u8389, \u5170\u8d85, \u7b49. \u964d\u9499\u7d20\u539f\u5bf9\u6025\u6027\u767e\u8349\u67af\u4e2d\u6bd2\u60a3\u8005\u9884\u540e\u7684\u4f5c\u7528 [J]. \u4e2d\u534e\u6025\u8bca\u533b\u5b66\u6742\u5fd7,2016,25(8):1044-1048.<\/span><\/p>\n

[9] Fukuzumi N, Osawa K, Sato I, et al. Age-specific percentile-based reference curve of serum procalcitonin concentrations in Japanese preterm infants[J]. Sci Rep, 2016,6: 23871.<\/span><\/p>\n

[10] Assumma M, Signore F, Pacifico L, et al. Serum procalcitonin concentrations in term delivering mothers and their healthy offspring: a longitudinal study[J]. Clin Chem, 2000,46(10):1583-1587.<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

<\/section>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

\u672c\u6587\u4f5c\u8005\uff1a\u513f\u79d1\u9171\u8461\u8404 \u964d\u9499\u7d20\u539f\uff08procalcitonin\uff0c PCT\uff09\u662f\u964d\u9499\u7d20\u7684\u524d\u80bd\uff0c\u6b63\u5e38\u60c5\u51b5\u4e0b\u5728\u8840\u6db2\u4e2d\u6d53\u5ea6\u5f88 […]<\/p>\n","protected":false},"author":1,"featured_media":125228,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/125227"}],"collection":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/comments?post=125227"}],"version-history":[{"count":1,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/125227\/revisions"}],"predecessor-version":[{"id":125234,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/125227\/revisions\/125234"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media\/125228"}],"wp:attachment":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media?parent=125227"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/categories?post=125227"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/tags?post=125227"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}