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[新生儿败血症早期诊断的实验室标志物]

[LABORATORY MARKERS FOR EARLY DIAGNOSIS OF NEONATAL SEPSIS].

作者信息

Kucherov Y I, Zhirkova Y V, Chebotaeva L I, Shishkina T V

出版信息

Anesteziol Reanimatol. 2015 May-Jun;60(3):11-5.

Abstract

Sepsis in neonates still remains difficult issue for clinicians. This review observes literature data about early laboratory diagnosis of neonatal sepsis. The paper considers the latest information about well-known methods of sepsis diagnosis in neonates such as complete blood count, acute phase reactants, cytokine markers, their advantages and disadvantages, as well as statistical value based on different meta-analysis and large multicenter investigations in many countries. We notified the newest methods in sepsis diagnosis such as plasma amyloid A, DAMP molecules, cell surface markers CD64, CD11b, and inter-a inhibitor proteins. The review informs about analysis of genomic and proteomic profile, nucleic acids tools. This data considering for early and late neonatal sepsis and their statistical values: sensitivity, specificity, positive and negative predictive value.

摘要

新生儿败血症对临床医生来说仍然是个难题。本综述观察了有关新生儿败血症早期实验室诊断的文献数据。本文探讨了新生儿败血症诊断的知名方法的最新信息,如全血细胞计数、急性期反应物、细胞因子标志物、它们的优缺点,以及基于不同荟萃分析和许多国家大型多中心研究的统计学价值。我们介绍了败血症诊断的最新方法,如血浆淀粉样蛋白A、损伤相关分子模式分子、细胞表面标志物CD64、CD11b和α-抑制剂蛋白。该综述介绍了基因组和蛋白质组学分析、核酸工具。这些数据涉及早发型和晚发型新生儿败血症及其统计学价值:敏感性、特异性、阳性和阴性预测值。

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