| 吴见春陈平林飞艇刘畅陈卓果.血清降钙素原检测在老年人急性阑尾炎中的临床价值[J].,2012,12(7):1306-1308 |
| 血清降钙素原检测在老年人急性阑尾炎中的临床价值 |
| The Value of PCT in the Diagnosis of Acute Appendicitis in Elderly People |
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| DOI： |
| 中文关键词: 阑尾炎 降钙素原 老年人 |
| 英文关键词: Appendicitis Procalcitoni Elderly people |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨降钙素原(PCT)的检测在老年人急性阑尾炎诊断中的价值。方法：检测96 例在我院进行阑尾切除术的急性阑尾炎
和误诊为急性阑尾炎的老年患者以及20 例健康体检者血清PCT 水平。结果：急性坏疽性阑尾炎及急性化脓性阑尾炎患者术前血
清PCT 值均较健康对照、阑尾无炎症及急性单纯性阑尾炎患者明显升高( P<0.01)；而急性单纯性阑尾炎、阑尾无炎症患者与健康
对照三者之间无明显差异(P＞0.05) ；阑尾切除术后血清PCT 值呈逐渐下降趋势( P<0.01)。结论：在临床症状及白细胞计数升高、
BUS 帮助的基础上, 结合血清PCT 的测定对老年人急性阑尾炎的诊断具有一定价值。 |
| 英文摘要: |
| Objective: To analyze the value of procalcitoni (PCT) in the diagnosis of acute appendicitis in elderly people.
Methods: Samples of 96 patients and 20 healthy controls were collected to detect Serum levels of PCT.The association of serum PCT
levels wth clinical features were statistically analyzed. Results: The serum PCT levels in patients with suppurative and gangrenous
appendicitis were much higher than that in healthy controls and patients with simple appendicitis and the no inflammation cases with a
significant difference (P<0.01). No signifi-cant difference of the serum PCT levels was noted between healthy controls with the no
inflammation cases and patients with simple appendicitis (P>0.05). The successful appendix resection significantly decreased serum
levels of PCT in patients with suppurative and gangrenous appendicitis (P<0.01). Conclusion: The serum PCT test is valuable in
diagnosis of acute appendicitis in elderly people on the basis of the clinical symptom , WBC levels and BUS. |
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