Application value of lipopolysaccharides and (1-3)-β-D glucan detection in acute pancreatitis complicating infection
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3969/j.issn.1673-4130.2017.09.004
   		
        
        	
        		- VernacularTitle:血浆内毒素及(1-3)-β-D葡聚糖测定在急性胰腺炎感染中的应用价值
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Yuejuan SONG
			        		
			        		;
		        		
		        		
		        		
			        		Qiangsheng FENG
			        		
			        		;
		        		
		        		
		        		
			        		Xiaoqing HA
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		acute pancreatitis;
			        		
			        		
			        		
				        		endotoxin;
			        		
			        		
			        		
				        		(1-3)-β-D glucan
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			International Journal of Laboratory Medicine
	            		
	            		 2017;38(9):1163-1164
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To investigate the clinical application value of endotoxin and (1-3)-β-D glucan detection in the patients with acute pancreatitis(AP).Methods The MB-80 microbiology rapid dynamic detection system was applied to detect the concentration of plasma LPS and (1-3)-β-D glucan in the patients with AP.Then the results were analyzed.Results Among 184 cases of AP complicating peripancreatic abscess and bilateral lung infection,endotoxin G-lipopolysaccharides positive was in 23 cases,the average value was 394.07 pg/mL,the positive rate was 10.87%,and 15 cases of Gram-negative bacterial infection were verified by the microorganism culture.Among 175 cases of AP complicating peripancreatic abscess and bilateral lung infection,67 cases were(1-3)-β-D glucan positive,the average value was 93.22 pg/mL,the positive rate was 38.29%,which were with the positive rate of serum(1-3)-β-D glucan in the non-AP group,the difference was statistically significant(P<0.05),the microorganism culture or smear verified that 22 cases were fungal infection.Conclusion Plasma endotoxin and (1-3)-β-D glucan detection provides the laboratory biological indicator and is conducive to the assessment of AP infection severity and clinical medication.