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目的 :探讨降钙素原 (PCT)对急性胰腺炎 (AP)的鉴别诊断价值。方法 :45例AP患者入选本研究 ,根据是否合并全身炎症反应综合征 (SIRS) ,分为SIRS组 ( 2 5例 )和非SIRS组 ( 2 0例 ) ;根据是否合并细菌感染 ,分为细菌感染组 ( 17例 )和非感染组 ( 2 8例 )。采用免疫发光法测定血清PCT。结果 :SIRS组患者血清PCT水平 ( 2 7± 1 1) μg/L ,明显高于非SIRS组 ( 1 3± 0 5 ) μg/L ,细菌感染组血清PCT水平 ( 3 5± 1 3 ) μg/L ,明显高于非感染组 ( 1 2± 0 4) μg/L(均 P <0 0 0 1)。结论 :PCT对AP患者合并感染具有鉴别意义 ,对病情判断和正确处理具有指导作用
Objective: To investigate the differential diagnosis value of procalcitonin (PCT) in acute pancreatitis (AP). Methods: Forty-five patients with AP were enrolled in this study. They were divided into SIRS group (25 cases) and non-SIRS group (20 cases) according to whether they had systemic inflammatory response syndrome (SIRS) Infected group (17 cases) and non-infected group (28 cases). Serum PCT was measured by immunoluminescence. Results: The serum PCT level of SIRS patients was (27 ± 1 1) μg / L, significantly higher than that of non-SIRS patients (13 ± 0 5) μg / L, and the serum PCT level was 35 ± 1 3 / L, which was significantly higher than that of non-infected group (12 ± 0 4) μg / L (all P <0 0 01). Conclusion: The PCT has the distinguishing significance of AP infection in patients with AP, which can guide the judgment of disease and correct treatment