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目的探讨儿童急性肠系膜淋巴结炎CRP的变化及临床意义。方法收集94例肠系膜淋巴炎的儿童的临床表现、腹部B超和CPR的结果。根据CRP结果,将94例急性肠系膜淋巴结炎儿童分为CRP阳性组(45例)和CRP阴性组(49例),经抗感染治疗1周,出院后1月随访B超,比较两组淋巴结消失的比例。结果 CRP阳性组和CRP阴性组在年龄、性别上和白细胞值差异无显著性(P>0.05)。随访1月,阳性组淋巴结消失的比例显著高于阴性组。结论 CRP阳性肠系膜淋巴结炎的儿童,其预后相对较好,淋巴结消失明显。
Objective To investigate the changes and clinical significance of CRP in children with acute mesenteric lymphadenitis. Methods Ninety-four children with mesenteric lymphocytosis were enrolled in this study. Results of abdominal ultrasonography and CPR were collected. According to the results of CRP, 94 children with acute mesenteric lymphadenitis were divided into CRP positive group (45 cases) and CRP negative group (49 cases), and were treated by anti-infection for 1 week. The children were followed up for 1 month after discharge. The lymph nodes disappeared proportion. Results There was no significant difference in age, sex and leukocyte between CRP positive group and CRP negative group (P> 0.05). Follow-up in January, the positive group lymph node disappearance was significantly higher than the negative group. Conclusion Children with CRP-positive mesenteric lymphadenitis have a relatively good prognosis and obvious disappearance of lymph nodes.