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[胰石蛋白在脓毒症早期诊断中的应用研究进展]

[Research advances on application of pancreatic stone protein in the early diagnosis of sepsis].

作者信息

He T, Liu W, Shen Z A

机构信息

Department of Burns and Plastic Surgery, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China.

出版信息

Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Oct 20;39(10):985-988. doi: 10.3760/cma.j.cn501225-20221120-00498.

DOI:10.3760/cma.j.cn501225-20221120-00498
PMID:37899565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11630372/
Abstract

Sepsis is a severe life-threatening syndrome characterized by an abnormal host response to infection that can rapidly evolve into septic shock and multiple organ failure. Treatment of sepsis depends on early identification and diagnosis as well as adequate and timely anti-infection and multi-organ functional support. In recent years, pancreatic stone protein has been widely studied as a new biomarker for sepsis. Existing evidence shows that compared with the commonly used inflammatory markers in clinical practice, pancreatic stone protein has higher sensitivity and specificity in the diagnosis of sepsis. It enables the early diagnosis of sepsis and assessment of the severity of septic patients to a certain extent. This article reviews the characteristics, biological functions, diagnostic features, and clinical application of pancreatic stone protein.

摘要

脓毒症是一种严重的、危及生命的综合征,其特征是宿主对感染的异常反应,可迅速发展为感染性休克和多器官功能衰竭。脓毒症的治疗取决于早期识别和诊断以及充分及时的抗感染和多器官功能支持。近年来,胰石蛋白作为脓毒症的一种新生物标志物受到广泛研究。现有证据表明,与临床实践中常用的炎症标志物相比,胰石蛋白在脓毒症诊断中具有更高的敏感性和特异性。它在一定程度上能够实现脓毒症的早期诊断和对脓毒症患者严重程度的评估。本文综述了胰石蛋白的特征、生物学功能、诊断特点及临床应用。

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本文引用的文献

1
[Research advances of sepsis biomarkers].[脓毒症生物标志物的研究进展]
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Jul 20;39(7):679-684. doi: 10.3760/cma.j.cn501225-20230320-00086.
2
The role of pancreatic stone protein as a prognostic factor for COVID-19 patients.胰石蛋白作为新冠病毒肺炎患者预后因素的作用。
Eur Rev Med Pharmacol Sci. 2022 Sep;26(17):6391-6395. doi: 10.26355/eurrev_202209_29666.
3
Development and application of a novel aldehyde nanoparticle-based amplified luminescent proximity homogeneous assay for rapid quantitation of pancreatic stone protein.一种基于新型醛纳米颗粒的放大发光邻近均相分析方法的开发及其在快速定量胰石蛋白中的应用。
Clin Chim Acta. 2022 Oct 1;535:120-130. doi: 10.1016/j.cca.2022.08.020. Epub 2022 Aug 27.
4
Combination of C-reactive protein, procalcitonin, IL-6, IL-8, and IL-10 for early diagnosis of hyperinflammatory state and organ dysfunction in pediatric sepsis.C 反应蛋白、降钙素原、白细胞介素 6、白细胞介素 8 和白细胞介素 10 联合检测对儿科脓毒症高炎症状态及器官功能障碍的早期诊断价值。
J Clin Lab Anal. 2022 Jul;36(7):e24505. doi: 10.1002/jcla.24505. Epub 2022 May 27.
5
[Rehabilitation strategy for the improvement of long-term outcomes of patients after sepsis].[改善脓毒症患者长期预后的康复策略]
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 Mar 20;38(3):201-206. doi: 10.3760/cma.j.cn501120-20211004-00344.
6
Pancreatic Stone Protein: Review of a New Biomarker in Sepsis.胰石蛋白:脓毒症新生物标志物综述
J Clin Med. 2022 Feb 18;11(4):1085. doi: 10.3390/jcm11041085.
7
Incidence and Time Point of Sepsis Detection as Related to Different Sepsis Definitions in Severely Burned Patients and Their Accompanying Time Course of Pro-Inflammatory Biomarkers.严重烧伤患者中脓毒症检测的发生率和时间点与不同脓毒症定义的关系及其促炎生物标志物的伴随时间进程
J Pers Med. 2021 Jul 23;11(8):701. doi: 10.3390/jpm11080701.
8
Accuracy of pancreatic stone protein for the diagnosis of infection in hospitalized adults: a systematic review and individual patient level meta-analysis.胰腺结石蛋白对住院成人感染诊断的准确性:系统评价和个体患者水平荟萃分析。
Crit Care. 2021 May 28;25(1):182. doi: 10.1186/s13054-021-03609-2.
9
[Deepening the understanding of the diagnostic system and therapeutic strategy for burn sepsis].[深化对烧伤脓毒症诊断系统和治疗策略的理解]
Zhonghua Shao Shang Za Zhi. 2021 May 20;37(5):404-409. doi: 10.3760/cma.j.cn501120-20200703-00337.
10
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Crit Care. 2021 Apr 20;25(1):151. doi: 10.1186/s13054-021-03576-8.