摘要
目的探讨在急性胰腺炎治疗中同时监测C-反应蛋白和降钙素原的临床意义。方法2006年10月-2007年12月共收治急性胰腺炎35例和急腹症30例,分别在入院后的第1、4、7d监测降钙素原和C-反应蛋白。结果急性胰腺炎患者第1、4、7d血浆中的CRP依次为78.83±19.17,91.66±14.07;68.31±16.41;与之比较的急腹症患者CRP依次为83.19±22.57,73.19±26.39,57.10±26.04。急性胰腺炎患者第1、4、7d血浆中的PCT依次为0.59±0.46,0.85±0.44,0.64±0.32,与之比较的急腹症患者PCT血浆则依次为1.65±0.74,1.33±0.68,1.07±0.55。结论在急性胰腺炎患者中动态监测血中降钙素原水平和C-反应蛋白水平对判断胰腺炎转归、继发感染及治疗有明确的临床意义,为急性胰腺炎的治疗方法和手术时机的选择提供了理论依据。
Objective To investigate the clinical significance of CRP and PCT in treatment acute pancreatitis. Methods On Ist,4th ,7th day after admssion, CRP and PCT were monitored in 35 cases of acute pancreatitis and in cases of acute surgical abdomen. Results The CRP level on the day 1st, 4th ,7th in acute pacreatitis were 78.83 _± 19.17, 91.66 ± 14.07,68.31 ± 16.41 ,but in acute surgical abdomen cases were 83.19 ± 22.57,73.19 ± 26.39,57.10 ± 26.04 ,the PCT level on the day 1st, 4th ,7th inacute paereatitis were 0.59 ± 0.46,0.85 ± 0.44,0.64 ± 0.32, but in acute surgical abdomen cases were 1.65 ± 0.74,1.33 ± 0.68,1.07 ± 0.55. Conclusions Monitoring the CPR and PCT level in acute pancreatitis patients would have an obvions clinical significnce in judginy it＇s progression, selecting proper therapy and operation opportunity.
