Relationship Between SIRS Score,serum Procalcitonin Content And Acute Chest Injury Infection In High Altitude Area

Objective:To monitor the serum procalcitonin levels in patients with acute chest injury and to explore the relationship between SIRS score,serum procalcitonin levels and acute chest injury infection in the plateau area so that to provide new ideas for clinical diagnosis and treatment.Methods:One hundred patients with acute chest injury who were admitted to the investigation were choosing from Thoracic surgery in Qinghai Provincial People’s Hospital from September 2016 to October 2018.The SIRS score was taken according to the SIRS evaluation standards.All subjects were collected fasting peripheral venous blood on the first day,the third day,the fifth day,and the seventh day,and the procalcitonin level was determined by Immunofluorescence assay.Discussing the relationship between SIRS score,serum procalcitonin level and infection.Results:Analysising clinical data with Statistical method showed that there was no significant difference in age and gender between SIRS group and the non-SIRS group in the acute chest injury patients in the plateau area,but the procalcitonin level in the SIRS group was higher than that in the non-SIRS group.There was no significant difference in age and gender between the infected group and the non-infected group,but the procalcitonin level measured by the infected group was higher than that of the non-infected group,and the serum procalcitonin level of the infected group on day 3was significantly higher than that of the non-infected group.The chi-square test indicated a positive correlation between SIRS score and infection(χ~2=5.82,P=0.02<0.05).Binary logistic regression suggested that patients with SIRS scores between 3-4 were more likely to have post-traumatic infections than those with SIRS scores between 0-1 and 2.SIRS scores of 3-4 were independent risk factors for post-traumatic infection in patients with acute chest injury(P=0.004<0.05).Conclusion:1.The SIRS score of patients with acute chest injury in the plateau area is an effective indicator for predicting post-traumatic infection.2.Dynamic monitoring of serum Procalcitonin levels can detect early infection of patients with chest trauma,and facilitate the timely replacement of antibiotics to improve the clinical diagnosis rate.3.Based on the SIRS score can determine whether the trauma patient needs clinical PCT monitor or not.