ƵײԴ©-xn--wbtx91atmh90f.aaaxpro.com

google seo -> telegram: @ehseo6

">Newsnet 2022-10-02 11:55
  • home  >   /pseudoperipteral  >   ƵײԴ©
  •  Ʒáַ:ff00.coF2F4Y5L8-2022-10-02 11:55

    ҳ > > > ע >

    ֽƿֱַ֡:ff00.coF2F4Y5L8-2022-10-02 11:55

    ٱ/
    2022-10-02 00:00:04
    ʾȾվҪ壡

    ƻٶظȾգпڲλȾѪȾȾȣȾߵIJ֢ߣ͸˵ľúҽƸ

    գлҽѧѧֻʮһƸȾ֢ҽѧѧߵɽƸȾ̳ڼ䣬ĴѧҽԺϽϸԺ֢ҽѧƲھͽԭPCTͰϸ6IL-6Ⱦŧ֢󲢷֢ҩеҪֵ̽֡

    ϯлҽѧѧֻƸȾΣزѧίԱ鷶սڵȻҩֶ죬ȾʾӸ߲¡ʱЧĿȾܴͻ󲢷֢ķʼʣײ⣬»߳ϸҩԼֲӦ־PCTIL-6мΪȾṩ׼ɿϢӶЧٴԤƣָҩĺʹá

    Ⱦؽ١׼ȷָ

    ԭѧϸȾԼĽָ꣬ϸʱ䳤Ҳͬʵʲϴ󡣴⣬ϸǴȾǶֲ顣ϸCӦףCRPѪ־48СʱڻΪ˶ӣԼԡԽϲԭ޷Ϊɸѡָꡣ

    PCTѪ彵أCTǰʣ޼ػԣ֢̼رϸȾŧѪ֢״̬£֯ϸ;ɲPCTͷŽѪҺѭϵͳIL-6ǻ̼ܵɵ-ϸάϸƤϸȲһֶЧϸӣDzŧ֢ȸȾҪԽʣڸȾܿͷѪҺΪȾ̶ȵָ꣬ڸ˽Ⱦ״

    ָӦʣ״ȫѪѪлãڸȾӦѸ٣Ұ˥ڶ̣֤ԸȾķӦʱЧԣͬʱܳ㹻ʱ乩⣬ԸȾԶΪ˶ӡڽܵPCTIL-6߱ʣȾԼϵָꡣ

    ڵ绯ѧⷨElecsys PCTIL-6⾭ٴ֤ɼȫԶȫԴԵƣΪٴṩɿļ

    PCT+IL-6ЧȾŧ֢

    ʾϸԷʴ21.6%пڸȾ·Ⱦ{1}ŧ֢1/3Ϊߣŧ֢ʸߴ25%{2}ŧ֢ݿ6Сʱڣÿ1Сʱʹÿأʽ7%{3}

    ʹܵ´֢ϸӷڣȫԷӦѪסѪѪ˨γɡҩ︱õҲᵼ־ŧ֢ǽ˻صȫ֢ӦۺSIRSҪȾ൱ѡ

    һ22о2680֢ߵĶͷʾPCTIL-6ŧ֢ͷǸȾSIRSԺԷֱΪ73%/68%67%/78%CRP{4}һԽעڶģŧ֢о֣־ȣPCTˮƽֿ١3-6СʱߣͿ˥˥ԼΪ20-24Сʱص㣻 IL-6ѪŨߵķʾPCTIL-6ΪȾԼе֢־{5}

    оۺϷʾ߶һԵ֤֧ʹPCTָϺȾضŧ֢ŧ֢ݿ˵ϣPCTȾϵо֤ݼҲܸߡ{6}о֤ʵPCTɸСǻȾ{7}Ⱦز֢{8}θгпڸȾ{9}ͽֱǻȾ{10}ǽֱǺϿԤ{11}

    IL-6ɸӲߵϸŧ֢ŧ֢֢һ233ӲסԺߵо֣0Сʱŧ֢ߵIL-6PCTϸڷŧ֢ߣIL-6ˮƽԤŧ֢ROCΪ0.98395%CI0.9670.999IL-6ٽֵΪ135 pg/mLʱŧ֢ԺԷֱΪ94.8%93.7%⣬IL-6ɸжϻԤٽֵΪ1105 pg/mLʱӦԺԷֱΪ81.8%76.5%{12}ˣڷȵĸӲߣֱӼѪIL-6ˮƽɰȷϸȾٴߣԤ

    ⣬оʾIL-6ָڸθܲλȾ棬PCTCRP{13}ҿԤ󲢷֢{14}׻ߵس̶{15}

    ̬PCTˮƽ ָȾ

    2016귢ġйȾݿٴʵָϡ PCT Ϊŧ֢ϵĸ֮һ ͬʱָˮƽPCT ͣÿҩĸжϣɼٿҩӦʱ䣬ҲʡPCT10 ng/mLʾԤʵָꡣ

    йŧ֢/ŧݿƣ2014ƼӦPCT ԿɸȾ֢߽ŧ֢ϣˮƽPCTΪŧ֢ͣÿҩĸָꡣָר9ٴͷ PCT ָҩʹʹҩʹ½RR=-2.0095%CI-2.37-1.64֢໤ICUסԺʱӰ죨RR=-0.8395%CI-2.350.70ҲԺʣRR=0.9295%CI0.621.39{16}

    һعԹ۲о2010-2012깲2422ICUߣ2011ʵʩ΢ҩƻPCTָطͳƷʾ2010ȣ2011Ŀʹý21.2%ʡסԺٴԲ졣{17}

    ָϹʶƼ̬PCTˮƽָơPCT <0.1 ng/mLʹÿأPCT > 0.5 ng/mLʾϸȾŧ֢ųPCTߵԭҪʼƣʱPCT> 0.25 ng/mLҲпܴȾָ֧Ⱦ֤ԿʼơPCTˮƽƿʼ72Сʱÿǰһ½30%Ͽ϶ЧijЩס·ȾɹȥȾ󣨸ȾܰγĻߣ3-5ĿƺPCTˮƽϳʼֵ½90%ϣֹͣơ{18}

    ̬PCTˮƽܹٴҽʱջҩƵյ㣬˷ǸȾߵIJҪƣҼٺͶϸҩӶܹȫЧõƻߡܽPCTIL-6ϡжϲس̶ȡԤȷ涼нϸߵٴӦüֵѵõо϶ǹȾҪߡ

    οף

    1.л־.2005;43(17)1158-1160.

    2.Curr Opin Crit Care. 2011 Aug;17(4)396-401.

    3.Crit Care Med200634(3)1589-1596.

    4.Cytokine. 2016 Dec;88126-135.

    5. J Clin Endocrinol Metab. 1994 Dec;79(6)1605-8.

    6. BMC Med. 2017 Jan 24;15(1)15.

    7. Journal of Surgical Research 2016 206(2)280-285.

    8. J Gastrointest Surg. 2016 Aug;20(8)1482-92.

    9. J Am Coll Surg. 2016 May;222(5)831-7.

    10. Ann Surg. 2016 Aug;264(2)252-6.

    11. Dis Colon Rectum. 2013 Apr;56(4)475-83.

    12. J Crit Care. 2015 Aug;30(4)732-8.

    13. Zhang D et al. Surg Infect (Larchmt). 2018 May 23.

    14. Ann Surg. 2016 Jun;263(6)1207-12.

    15. Pancreatology. 2015 Jan-Feb;15(1)59-63.

    16. лڿ־. 2015 Jun; 54(6)557-581.

    17. Infection. 2015 Aug;43(4)405-412.

    18. лҽѧ־.2012.21(9)944-951

    ٱ/
    ӵַ*
    ٱ⣺*ѡٱ
    ԭӣ
    ɣ
    ⼰飺
    ϵʽ
    ŷ ҹܻС Ѽ 潸ɾ Ůŷվ һ
    ݰĦ ʱʱһ qqƯƿôԼ Сűŷ绰 ŷͨѶ
    ŷ ֻͬСŷ С潼 ed2k ˮůŷ κСŷ
    ̺ϴŷ ԼŰĦ ͥʦŷ ŰĦ зδݵα