Abstract:Objective: To study the changes of protein C levelsin serum and cerebrospinal fluid(CSF) of children with viral encephalitis and its clinical significance. Method:From October 2013 to December 2015,102 cases of children with viral encephalitis as the observation group, the other in the same period randomly selected 100 cases of children with upper respiratory tract infection with headache as control group.In hospital within 24 h (acute phase) and the clinical therapy (recovery) after 1 weeks to collect children venous blood samples and cerebrospinal fluid samples for detection of protein C levels;collecting and the detecting protein C levels of healthy children in the venous blood samples and samples of cerebrospinal fluid. Results: Observation group with acute phase protein C levels in serum and cerebrospinal fluid were relatively lower than recovery children and healthy children, the differences were statistically significant (P<0.05).Observation group children with acute mild protein C levels in serum and cerebrospinal fluid were higher than children with severe, differences were statistically significant (t=2.542, 2.115, P<0.05). Conclusion: Protein C levels can be used for the early diagnosis of viral encephalitis and judge the severity of infection, having important clinical value for diagnosis and treatmentof children with viral encephalitis.
王燕. 病毒性脑炎患儿体内蛋白C水平的测定与临床研究[J]. 河北医学, 2017, 23(9): 1484-1486.
WANG Yan. Determination of Protein C in Serum and Cerebrospinal Fluidin Children with Viral Encephalitis and Clinical Research. 河北医学, 2017, 23(9): 1484-1486.
[1] 刘莉,王乾,朱松梅,等.手足口病合并病毒性脑炎患儿血清中白细胞介素-6及12的检测价值研究[J].山西医药杂志,2012,41(6):562~563. [2] 谢艺红,杨进业,谭毅,等.病毒性脑炎临床特征分析及临床诊断质量评价[J].疾病监测,2012,27(4):256~262. [3] Schroeter ML,Mueller K,Arelin K,et al.Serum neuron-specificenolase is related to cerebellar connectivity-A resting-state fM-RI pilot study[J].Neurotrauma,2014,21(5):896~899. [4] Melver CJ,Jaeques CF,Chow SS,et al. Development ofmultiplex PCRs for detection of common viral Pathogens andagents of congenital infections[J].Clin Mierobiol,2005,43(10):5102~5110. [5] Della Valle P, Pavani G, Dangelo A. The protein C pathway and sepsis[J].Thromb Res, 2012, 129(3): 296~300. [6] 唐金凤,陈先春,钟磊,等.血浆凝血因子V、VIII及蛋白C活性与下肢深静脉血栓形成的相关性[J].实验与检验医学,2015,33(1):103~105. [7] 王宗奎,林方昭,肖小璞,等.蛋白C、蛋白S的研究与应用[J].中国输血杂志,2010,23(4):322~326. [8] Bernard GR,Vincent JL,Laterre PF, et al.Efficacy and safety of recombinant human activated protein C for severe sepsis[J].N Engl Med,2001,344(10):699~709. [9] D'Angelo A, Della Valle P, Giudici D, et al.Protein C and coagulation in sepsis[J].Minerva Anestesiol, 2004,70(5):339~350. [10] 张本平,梁庆成.蛋白C、蛋白S活性与缺血性脑血管病的相关性研究[J].哈尔滨医科大学学报,2007(4):365~366. [11] 薛清彬,吴泽彬,黄海川. 乳酸脱氢酶、降钙素原、C-反应蛋白检测在小儿中枢神经系统感染的价值[J].河北医药,2014,36(12):1806~1807.