机构：[1]Department of Critical Care Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.临床科室重症医学科-中心ICU首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.首都医科大学附属天坛医院[3]Department of Critical Care Medicine, Tokyo Medical and Dental University Graduate School, Tokyo 113-8519, Japan.[4]Department of Cardiovascular Surgery, Tokyo Medical and Dental University Graduate School, Tokyo 113-8519, Japan.
This study was performed to assess the value of procalcitonin (PCT) for the differential diagnosis between infectious and non-infectious systemic inflammatory response syndrome (SIRS) after cardiac surgery.Patients diagnosed with SIRS after cardiac surgery between April 1, 2011 and March 31, 2013 were retrospectively studied. A total of 142 patients with SIRS, infectious (n = 47) or non-infectious (n = 95), were included. The patients with infectious SIRS included 11 with sepsis, 12 with severe sepsis without shock, and 24 with septic shock.PCT, C-reactive protein (CRP), and the white blood cell (WBC) count were significantly higher in the infectious SIRS group than in the non-infectious SIRS group. PCT had the highest sensitivity and specificity for differential diagnosis, with a cut-off value for infectious SIRS of 0.47 ng/mL. PCT was more reliable than CRP in diagnosing severe sepsis without shock, but it was not useful for diagnosing septic shock. The PCT cut-off value for diagnosing severe sepsis without shock was 2.28 ng/mL.PCT was a useful marker for the diagnosis of infectious SIRS after cardiac surgery. The optimal PCT cut-off value for diagnosing infectious SIRS was 0.47 ng/mL.
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2013]版：
无
最新[2025]版：
大类|2 区医学
小类|3 区危重病医学
第一作者：
第一作者机构：[1]Department of Critical Care Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.[3]Department of Critical Care Medicine, Tokyo Medical and Dental University Graduate School, Tokyo 113-8519, Japan.
通讯作者：
推荐引用方式(GB/T 7714)：
Zhao Dong,Zhou Jianxin,Haraguchi Go,et al.Procalcitonin for the differential diagnosis of infectious and non-infectious systemic inflammatory response syndrome after cardiac surgery.[J].Journal of intensive care.2014,2:35.doi:10.1186/2052-0492-2-35.
APA：
Zhao Dong,Zhou Jianxin,Haraguchi Go,Arai Hirokuni&Mitaka Chieko.(2014).Procalcitonin for the differential diagnosis of infectious and non-infectious systemic inflammatory response syndrome after cardiac surgery..Journal of intensive care,2,
MLA：
Zhao Dong,et al."Procalcitonin for the differential diagnosis of infectious and non-infectious systemic inflammatory response syndrome after cardiac surgery.".Journal of intensive care 2.(2014):35
