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

當前位置:主頁 > 醫(yī)學論文 > 兒科論文 >

降鈣素原檢測在化膿性腦膜炎患兒中的應(yīng)用研究

發(fā)布時間:2019-06-21 19:34
【摘要】:目的觀察降鈣素原(PCT)檢測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,于入院當天檢測三組血常規(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、病原學檢查和頭顱影像學、腦電圖檢查,且于治療后3天、5天和7天檢測三組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,計算陽性預(yù)測值、陰性預(yù)測值。結(jié)果入院當天化膿性腦膜炎PCT水平高于病毒性腦膜炎、健康體檢者,差異具有統(tǒng)計學意義(P0.05),病毒性腦膜炎與健康體檢者差異無統(tǒng)計學意義。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)計學意義(P均0.05),第7天與病毒性腦膜炎和健康體檢差異無統(tǒng)計學意義。腦脊液白細胞計數(shù)500×16/L與≤500×106/L者PCT水平差異無統(tǒng)計學意義,腦脊液蛋白升高與正常者比較、細菌培養(yǎng)陰性與培養(yǎng)陽性者比較、普通病情與重癥患者比較,差異均無統(tǒng)計學意義。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、陽性預(yù)測值高于PCT≥0.5ng/ml。結(jié)論 PCT水平檢測有助于兒童化膿性腦膜炎早期診斷、病情評估與臨床指導(dǎo),且能避免單一指標對中樞神經(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: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,作者需要刪除請E-mail郵箱bigeng88@qq.com
黄片免费播放站女同| 久久久.欧美一区二区| 曰本不卡二区| 欧美一区二区国产精品日韩| 人人人干人人人射| 天天干天天干免费看视频| 久久91|日韩| 欧美日韩人气| 亚州在线A| 991在线观看日韩| 天天干天天射,天天艹| 亚洲女乱搞视频网在线观看网站| 初中AV福利| 老司机网站人妻九九九| 欧美精品 - 色哟哟| 老湿机十分钟精品| 国产欧美 快点 用力| 天天舔别人舔射一| 黄色在线播| 国产精品第一区| 日韩经典一级在线| 精品三级黄色国产| 中文字幕在线一区二区98| 中国欧美中文字幕 黄网站| 日本搞黄在线观看| 亚洲毛片XXXXXXXXX| 伊人久久久久久久久久久久久| 亚洲国产精品99久久久久久久网址| 国产丝袜脚足交网站| 影音先锋婷婷发在线中文字幕| 天天干天天射天天舔天天搞| 天天干天天操天天与| 日韩久久AV电影| 欧美xxx视频| 午夜一级淫片免费看| 国产极品福利在线| 1区2区3区美| 无码中文字幕第138页| 欧美在线免费观看一区| 国产xxxⅹ高潮视频| 无码的 b视频|