| 摘要: |
| ［目的］探讨血清降钙素原（PCT）对肝硬化并发自发性细菌性腹膜炎的诊断价值。［方法］采用半定量固相免疫发光测量法测定17例肝硬化并发自发性细菌性腹膜炎患者血清PCT，免疫散射速率比浊法测定其血清C反应蛋白，常规方法检测外周血白细胞，同时与20例病毒性肝炎患者进行对照。［结果］血清PCT对腹膜炎诊断的敏感性(17/17)和特异性（20/20）均为100%，敏感性优于外周血白细胞计数（23.5%，4/17）（P＜0.01)，特异性优于C反应蛋白（5%，1/20）（P＜0.01)。［结论］血清PCT测定对肝硬化并发自发性细菌性腹膜炎诊断有重要价值。 |
| 关键词: 降钙素原 细菌感染 自发性细菌性腹膜炎 肝硬化 |
| DOI：10.11724/jdmu.2006.03.14 |
| 分类号:R575.2 |
| 基金项目: |
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| Diagonosis value of serum procalcitonin in cirrhotic patients with spontaneous bacterial peritonitis |
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LIU Jing-chun1, WANG Zhen-shan2, XUE Xin2, GU Jun-ming2
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1.Zibo 4th People’s Hospital,Zibo 255000,China;2.The Second Affiliated Hospital of Dalian Medical University, Dalian 116027,China
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| Abstract: |
| ［Objective］ To analyse initiatively the diagonosis of serum Procalcitonin （PCT） in cirrhotic patients with spontaneous bacterial peritonitis.［Methods］ Serum PCT were detected by semi-quantitative solid-phase immunoassay, CRP were measured by using immunity-turbidity method and white blood cells were counted by routine method from 17 cirrhotic patients with spontaneous bacterial peritonitis and compared with 20 viral hepatitis.［Results］ The sensitivity（17/17） and the specificity（20/20） of PCT were 100% for the diagnosis of patients with bacterial peritonitis .They were better than white blood cells （23.5%,4/17）（P＜0.01） and CRP（5%,1/20）（P＜0.01) respectively.［Conclusions］ The detection of PCT has an important value in diagnosis of cirrhotic patients with spontaneous bacterial peritonitis |
| Key words: procalcitonin(PCT) bacterial infection spontaneous bacterial |
