国产伦乱,一曲二曲欧美日韩,AV在线不卡免费在线不卡免费,搞91AV视频

當(dāng)前位置:主頁(yè) > 醫(yī)學(xué)論文 > 兒科論文 >

降鈣素原檢測(cè)在化膿性腦膜炎患兒中的應(yīng)用研究

發(fā)布時(shí)間:2019-06-21 19:34
【摘要】:目的觀察降鈣素原(PCT)檢測(cè)在兒童化膿性腦膜炎中的臨床意義。方法選取2012年3月-2015年3月醫(yī)院化膿性腦膜炎患兒29例、病毒性腦膜炎患兒45例及健康體檢兒童20名,于入院當(dāng)天檢測(cè)三組血常規(guī)、PCT水平及化膿性腦膜炎兒童、病毒性腦膜炎兒童行腦脊液常規(guī)、生化、病原學(xué)檢查和頭顱影像學(xué)、腦電圖檢查,且于治療后3天、5天和7天檢測(cè)三組PCT水平。建立ROC曲線,明確PCT診斷兒童化膿性腦膜炎靈敏度、特異性,計(jì)算陽(yáng)性預(yù)測(cè)值、陰性預(yù)測(cè)值。結(jié)果入院當(dāng)天化膿性腦膜炎PCT水平高于病毒性腦膜炎、健康體檢者,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),病毒性腦膜炎與健康體檢者差異無(wú)統(tǒng)計(jì)學(xué)意義。治療第3、5天化膿性腦膜炎患者PCT水平分別為(3.105±2.041)ng/ml、(1.006±0.890)ng/ml高于病毒性腦膜炎患者(0.117±0.076)ng/ml、(0.115±0.082)ng/ml及健康體檢者的(0.160±0.331)ng/ml、(0.160±0.331)ng/ml,差異均有統(tǒng)計(jì)學(xué)意義(P均0.05),第7天與病毒性腦膜炎和健康體檢差異無(wú)統(tǒng)計(jì)學(xué)意義。腦脊液白細(xì)胞計(jì)數(shù)500×16/L與≤500×106/L者PCT水平差異無(wú)統(tǒng)計(jì)學(xué)意義,腦脊液蛋白升高與正常者比較、細(xì)菌培養(yǎng)陰性與培養(yǎng)陽(yáng)性者比較、普通病情與重癥患者比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義。腦脊液葡萄糖含量降低患者PCT水平(3.65±0.76)ng/mL顯著高于正常者(1.87±0.98)ng/ml(P0.05)。PCT≥2ng/ml及≥10.0ng/ml特異性、陽(yáng)性預(yù)測(cè)值高于PCT≥0.5ng/ml。結(jié)論 PCT水平檢測(cè)有助于兒童化膿性腦膜炎早期診斷、病情評(píng)估與臨床指導(dǎo),且能避免單一指標(biāo)對(duì)中樞神經(jīng)系統(tǒng)感染類型的誤診,效果值得肯定。
[Abstract]:Objective to observe the clinical significance of procalcitonin (PCT) detection in children with suppurative meningitis. Methods 29 children with suppurative meningitis, 45 children with viral meningitis and 20 healthy children were selected from March 2012 to March 2015. Blood routine, PCT level and purulent meningitis children were measured on the day of admission. Cerebrospinal fluid routine, biochemical, etiological examination, cephalogram and electroencephalogram (EEG) were performed in three groups of children with viral meningitis. PCT levels were measured at 3 days, 5 days and 7 days after treatment. ROC curve was established to determine the sensitivity, specificity, positive predictive value and negative predictive value of PCT in the diagnosis of suppurative meningitis in children. Results on the day of admission, the PCT level of suppurative meningitis was higher than that of viral meningitis, and the difference was statistically significant (P 0.05). There was no significant difference between viral meningitis and healthy meningitis. On the 3rd and 5th day of treatment, the level of PCT in patients with suppurative meningitis was (3.105 鹵2.041) ng/ml, (1.006 鹵0.890) ng/ml, which was significantly higher than that in patients with viral meningitis (0.117 鹵0.076) ng/ml, (0.115 鹵0.082) ng/ml and healthy controls (0.160 鹵0.331) ng/ml, (0.160 鹵0.331) ng/ml,. There was no significant difference between day 7 and viral meningitis and physical examination. There was no significant difference in PCT level between 500 脳 16 脳 L and 鈮,

本文編號(hào):2504300

資料下載
論文發(fā)表

本文鏈接:http://lk138.cn/yixuelunwen/eklw/2504300.html


Copyright(c)文論論文網(wǎng)All Rights Reserved | 網(wǎng)站地圖 |

版權(quán)申明:資料由用戶5d85d***提供,本站僅收錄摘要或目錄,作者需要?jiǎng)h除請(qǐng)E-mail郵箱bigeng88@qq.com
大象蕉伊人| 69福利站| 亚洲欧美日han一区二区| 久久麻豆久久| 日本免费上床视频| 精品久久×××| 亚洲av久久色婷婷五月| 亚洲性色精品视频在线播放| 色婷婷国产精品97久久久久久| 欧美成人网站二区| 伊人久久精品一区二区三区| av人人天天| 亚洲无线看国产高清| 亚洲综合在线一区二区欧美| 又大又粗全黄肉欲视频| 国产精品无码一区二区三区三州| 少妇3p国语| 92精品欧美一区二区| 老女人爽视频| 久久久久久久av毛片| 亚洲欧美疯狂3P| 欧美在线国产视频观看| 亚洲欧美一区二区 色综合| 国产精品va无码一区二区三区在线| 欧美日韩成人中文字幕在线观看| 一区二区三区日本高清不卡| 亚洲写真一区二区| 国产内射视频带解说| 亚洲欧美日本在线不卡| 国产麻豆97| 狠狠干 激情 视频| 亚洲天堂亚洲天堂亚洲天堂| 日韩一区二区三区 中文字幕| 黑人大鸡吧插入视频| 黄色9696视频播放| 欧美色YEYE| 亚欧精片久久无码无毛| 欧美精品偷拍一区| 国产精品青青网| 99少妇高潮免费看| 啊…大jb好大网站|