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Clinical application of C reactive protein and white blood cell joint detection in diagnosis of pediatric pneumonia |
MA Yuguo,ZHAO Junyue,and ZHAO Hongli. |
Department of Clinical Laboratory,Hebei Provincial Corps Hospital of Chinese People's Armed Police Forces,Shijiazhuang 050081,China |
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Abstract Objective To study the serum CRP concentration and WBC count changes in different types of pediatric pneumonia and the diagnostic value of CRP and WBC combined detection in children with pneumonia. Metheds 758 cases of pneumonia at our hospital were studied. They were divided into bacterial group(212 cases), virus group (287 cases) and mycoplasma group (259 patients) according to the type of pneumonia, with 142 healthy children as control. CRP, WBC and WBC classification detection were studied and CRP changes were observed in the course of the disease. Results The analysis of variance showed that each index of CRP, WBC, LYMPH, NEUT in the four groups was statistically different (P<0.05). The abnormal rate of CRP and WBC was also statisticaly different (P<0.05) by chi-square analysis. CRP in the bacterial group decreased faster during recovery while virus group showed no significant change. Conclusion CRP and WBC combined application plays a positive role in early diagnosis of pneumonia, clinical rational use of antibiotics and prevention of resistant bacteria.
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Received: 21 March 2012
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[1] |
吴多池,吴礼循. C反应蛋白测定在儿童肺炎中的应用价值[J]. 海南医学,2011,22(11):126-127.[2] 诸福棠. 实用儿科学[M].6版.北京:人民卫生出版社,1998:1185-1191.[3] 郑淑芳,李拥军. 80例感染性疾病患儿血清CRP及WBC水平检测及分析[J]. 山东医药,2011,51(23):64-65.[4] 夏尤佳,沈朝斌,戴 强. C反应蛋白与小儿呼吸道感染关系的meta分析[J]. 临床儿科杂志,2008,26(6):535-536.[5] 焦爱萍. 小儿肺炎血清C反应蛋白动态测定及其意义[J].临床和实验医学杂志,2010,9(18):1389-1391.[6] 黎清交,曾素萍,黎昌茂. 白细胞、C反应蛋白和免疫球蛋白检测在小儿肺炎中的运用[J].山东医药,2010,50(9):65-66.[7] 刘爱琳,李 利. 小儿肺炎支原体感染与细菌感染血常规及C反应蛋白的比较[J].中国中西医结合儿科学,2010,2(4):357-358.
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