论文部分内容阅读
目的通过临床对儿童肺炎患儿检验白细胞计数、C-反应蛋白与红细胞沉降量,分析该检测在儿童肺炎中的诊断价值。方法选取某院2010年1月～2011年1月所收治的儿童肺炎患儿100例进行血清检测。C-反应蛋白的检测采用免疫比浊法,红细胞沉降量的检测采用韦斯特伦法,白细胞计数的检测采用全自动三分类血球计数仪,观察患者检测后的数据结果,并进行分析评价以上指标检测在儿童肺炎中的诊断价值。结果经过临床检查所有患者均为浸润类型肺炎患儿,其中32例患儿为肺泡型,68例患儿为间质型,而肺泡型患儿血清中的C-反应蛋白与红细胞沉降量水平要明显高于间质型肺炎(P﹤0.05),但是白细胞计数之间差异无统计学意义(P﹥0.05)。结论白细胞计数与红细胞沉降量水平在儿童肺炎患儿中的检测中受到一定的限制,而C-反应蛋白可以作为首选诊断标准,在临床中具有非常重要的意义。
Objective To evaluate the diagnostic value of this test in children with pneumonia by clinical examination of white blood cell count, C-reactive protein and erythrocyte sedimentation rate in children with pneumonia. Methods 100 cases of children with pneumonia admitted to our hospital from January 2010 to January 2011 were selected for serum test. C-reactive protein was detected by immunoturbidimetric method, the detection of erythrocyte sedimentation rate by Westertron method, the detection of leukocyte count using automatic three-class blood cell counting instrument to observe the data after the test results and analysis and evaluation of the above Diagnostic value of index test in children with pneumonia. Results All the patients were infiltrative pneumonia after clinical examination. Among them, 32 cases were alveolar type and 68 cases were interstitial type. The levels of serum C-reactive protein and erythrocyte sedimentation rate in children with alveolar type were Was significantly higher than that of interstitial pneumonia (P <0.05), but there was no significant difference between leukocyte count (P> 0.05). Conclusion Leukocyte count and erythrocyte sedimentation level are limited in the detection of children with pneumonia, and C-reactive protein can be used as the first choice of diagnosis in clinic, which is of great significance.