快速C-反应蛋白对儿科浆膜腔积液性质判断的应用价值  

Clinical Value of C-Reactive Protein in Distinguisghing Chorion Fluid in Children

作　　者：周颖[1] 张美和[1] 王燕[1] 

机构地区：[1]首都医科大学附属北京儿童医院,北京100045

出　　处：《实用医技杂志》2004年第07B期1258-1259,共2页Journal of Practical Medical Techniques

摘　　要：目的 :探讨微量快速C 反应蛋白 (CRP)在临床儿科浆膜腔积液性质判断及病变程度方面的应用价值。方法 :选取 2 0 0 3年本院 88例胸腹腔积液标本 ,分别采用Beckman CX7测定乳酸脱氢酶 (LDH)活性及免疫透射比浊法测定积液中CRP。结果 :CRP测的灵敏度为 87.5 % ,特异度为 79.2 % ,阳性预测值为 77.8% ,阴性预测值为 88.3%。结论 :在临床儿科多种病因所致的浆膜腔积液鉴别为渗出液和漏出液时 ,CRP与LDH活性测定等多种理化指标同时测定可提高灵敏度及特异性 ,并有助于临床判断病变及疗效观察。Objective To evaluate C-Reactive Protein(CRP)in distinguisghing chorion fluid in children. Methods 88 specimens form Beijing Children's Hospital were collected in 2003,For all specimens, Beckman-CX7 was used to determine LDH and immunmetric assay method was used for CRP.Results The sensitivity and the spectivity of CRP were 87.5 % and 79.2 % resectivly.The plsitive predictive value and the negative predictive value were 77.8 % and 88.3 % respiectivly. Conclusions Combined with LDH and other tests.CRP can elevate the sisentivity and spectivity in distinguisghing extravasate and aleak fluid and make great help on judgement for the curative effect of disease.

关 键 词：C-反应蛋白 LDH活性 浆膜腔积液 

分 类 号：R446.112[医药卫生—诊断学]