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目的:评估血常规、血沉、C-反应蛋白这三种检验学指标对小儿急性肺炎的诊断价值。方法:回顾性分析于2013年2月-2014年2月在我院确诊或住院治疗120位小儿患者,其中60位小儿患有急性肺炎(肺炎组),60位小儿为非急性肺炎感染(感染组),并随机选取了60位健康体检的小儿(对照组),比较三组患儿的血常规、血沉、C-反应蛋白三项检验学指标。结果:肺炎组的白细胞总数(WBC)、中性粒细胞所占百分比(N%)、血沉(ESR)、C-反应蛋白(CRP)指标均显著高于感染组和对照组(P<0.05),感染组的血沉(ESR)、C-反应蛋白(CRP)指标均显著高于对照组(P<0.05)。结论:血常规、血沉、C-反应蛋白这三种检验学指标对小儿急性肺炎的诊断均具有重要意义,临床医生做出诊断决策时应当综合考虑上述因素。
OBJECTIVE: To evaluate the diagnostic value of the three test indexes of blood routine test, erythrocyte sedimentation rate and C-reactive protein in children with acute pneumonia. Methods: A total of 120 pediatric patients diagnosed or hospitalized in our hospital from February 2013 to February 2014 were retrospectively analyzed. Among them, 60 had acute pneumonia (pneumonia group) and 60 had non-acute pneumonia (infection Group), and randomly selected 60 healthy children (control group), compared the three groups of children’s blood test, erythrocyte sedimentation rate, C-reactive protein test three indicators. Results: The WBC, the percentage of neutrophils (N%), ESR and CRP in pneumonia group were significantly higher than those in infection group and control group (P <0.05) (ESR) and C-reactive protein (CRP) in the infected group were significantly higher than those in the control group (P <0.05). Conclusion: The blood test, erythrocyte sedimentation rate, C-reactive protein are the three test indicators for the diagnosis of acute pneumonia in children are of great significance, clinicians should make a diagnosis and decision-making should take these factors into account.