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血清淀粉样蛋白A在VAP患者中的临床价值

, PP. 1146-1148

Keywords: 血清淀粉样蛋白A,呼吸机相关性肺炎,APACHEⅡ

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Abstract:

目的探讨血清淀粉样蛋白A(SAA)对预测呼吸机相关性肺炎(VAP)患者病情严重程度、疗效及预后的价值。方法选取34例VAP患者,根据治疗后转归情况分为恶化组(未愈/死亡组,A组)14例和康复组(治愈/存活组,B组)20例,分别于诊断为VAP第1、3、5d及死亡/转出ICU的当天,酶联免疫吸附法(ELISA)和免疫乳胶试验法检测血清SAA、CRP水平,并行急性生理学及慢性健康状况评分II(APACHEⅡ)。结果与B组比较,A组第1d、第3d、第5d及死亡/转出ICU的当天血清SAA、CRP及APACHEⅡ评分均明显增高(P均结论血清SAA水平能反映VAP患者的病情严重程度、疗效及预后。

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