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《bnp聯(lián)合pct測(cè)定對(duì)有機(jī)磷農(nóng)藥中毒患者監(jiān)控的臨床價(jià)值》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫(kù)。
1、BNP聯(lián)合PCT測(cè)定對(duì)有機(jī)磷農(nóng)藥中毒患者監(jiān)控的臨床價(jià)值【摘要】目的研宄B型利?c肽(BNP)聯(lián)合降鈣素原(PCT)測(cè)定對(duì)有機(jī)磷農(nóng)藥中毒患者監(jiān)控的臨床價(jià)值。方法50例有機(jī)磷農(nóng)藥中毒患者，給予所有患者行催吐、洗胃、導(dǎo)瀉、氣管插管、機(jī)械通氣、抗感染等常規(guī)對(duì)癥處理，對(duì)患者進(jìn)行血漿BNP和血漿PCT連續(xù)監(jiān)測(cè)的數(shù)據(jù)改變情況及病情變化進(jìn)行比較，分析BNP與PCT測(cè)定在有機(jī)磷農(nóng)藥中毒患者中的數(shù)據(jù)變化與患者疾病轉(zhuǎn)歸的關(guān)聯(lián)性。結(jié)果通過(guò)對(duì)患者監(jiān)測(cè)BNP及PCT,50例中毒患者中有34例患者BNP測(cè)定結(jié)果持續(xù)增高(A組)，其PCT結(jié)果亦升高，提示BNP升高患者細(xì)菌感染情況相對(duì)較
2、普遍，平均住院時(shí)間為(15.0±2.1)d;16例患者BNP—過(guò)性升高(B組)，PCT結(jié)果低于A組，住院時(shí)間為(9.0±1.3)d短于A組，差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。主動(dòng)服用的患者BNP及PCT指標(biāo)高于誤服或呼吸道吸入患者，治療時(shí)間多于誤服或呼吸道吸入患者，差異有統(tǒng)計(jì)學(xué)意義(P〈0.05)。結(jié)論BNP聯(lián)合PCT測(cè)定對(duì)有機(jī)磷農(nóng)藥中毒患者臨床診療有積極意義，有機(jī)磷農(nóng)藥中毒患者存在不同程度的心肌損傷及細(xì)菌感染狀態(tài)。本文采集自網(wǎng)絡(luò)，本站發(fā)布的論文均是優(yōu)質(zhì)論文，供學(xué)習(xí)和研究使用，文中立場(chǎng)與本網(wǎng)站無(wú)關(guān)，版權(quán)和著作權(quán)歸原作者所有，如有不愿意被轉(zhuǎn)載的情況，請(qǐng)通知
3、我們刪除己轉(zhuǎn)載的信息，如果需要分享，請(qǐng)保留本段說(shuō)明。【關(guān)鍵詞】有機(jī)磷農(nóng)藥中毒；B型利鈉肽；降鈣素原；感染DOI：10.14163/j.cnki.11-5547/r.2017.05.005ClinicalvalueofBNPcombinedwithPCTdeterminationinmonitoringoforganicphosphoruspesticidepoisoningpatientsLIMin-xiong,ZHANGDong-wu,HUANGYong-peng,etal.FoshanCityGaomingDistrictPeople'sHospit
4、al,Foshan528500,China[Abstract]ObjectiveTostudytheclinicalvalueofB-typenatriureticpeptide(BNP)combinedwithprocalcitonin(PCT)determinationinmonitoringoforganicphosphoruspesticidepoisoningpatients.MethodsAtotalof50organicphosphoruspesticidepoisoningpatientsallreceivedconventionalsy
5、mptomatictreatmentofvomiting,gastriclavage,catharsis,trachealintubation,mechanicalventilationandanti-infection.ComparisonweremadeondatachangesincontinuousmonitoringplasmaBNPandplasmaPCT,andcorrelationbetweendatachangesofBNPandPCTdeterminationinorganicphosphoruspesticidepoisoningp
6、atientsandprognosisofdisease.ResultsThroughmonitoringBNPandPCTinpatients,34patients(groupA)hadcontinuousincreasedBNPdeterminationresultsin50poisoningpatients,andtheirPCTresultalsoincreased,whichsuggestedthatbacterialinfectioninpatientswithincreasedBNPwasrelativelycommon,withavera
7、gehospitalstaytimeas(15.0±2.1)d.16patientshadtransientriseofBNP(groupB)，andtheirPCTresultwaslowerthangroupA,withaveragehospitalstaytimeas(9.0±1.3)d，whichwasshorterthangroupA，andthedifferencehadstatisticalsignificance(P<0.05).InitiativetakingpatientshadhigherBNPandPCTindexthanthem
8、istakingorrespiratoryinhalationpatients,
