急性阑尾炎婴幼儿血白细胞计数及C-反应蛋白测定  

Detection of white blood cell count and C-reactive protein of infant with acute appendicitis

作　　者：张振武[1] 李杰[2] 苏红革[1] 曹振杰[1] 

机构地区：[1]郑州大学第三附属医院小儿外科,郑州450052 [2]郑州大学生物工程系,郑州450001

出　　处：《郑州大学学报（医学版）》2009年第4期840-841,共2页Journal of Zhengzhou University(Medical Sciences)

摘　　要：目的:探讨白细胞计数及C-反应蛋白(CRP)在婴幼儿急性阑尾炎诊断和治疗中的价值。方法:选择35例3岁以下急性阑尾炎患儿(单纯性9例,化脓性14例,坏疽穿孔性及阑尾周围脓肿12例;术后有并发症15例,无并发症20例),于术后第5天检测外周血白细胞计数及CRP,并分析2者与病理类型、预后之间的关系。结果:不同病理学类型急性阑尾炎患儿外周血白细胞计数及CRP水平不同(F分别为312.86,355.10,P均<0.001);有并发症的患儿外周血白细胞数及CRP高于无并发症患儿(t分别为138.09,61.84,P均<0.001)。结论:动态监测白细胞计数及CRP可用于判断婴幼儿急性阑尾炎的病情及预后。Aim： To discuss the value of white blood cell（WBC） count and C-reactive protein（CRP） in the diagnosis and therapy of infant acute appendicitis. Methods：A total of 35 patients under 3 years old suffered from infant acute appendicitis （pathologic type ：9 cases of simple acute appendictis, 14 cases of pyogenic acute appendictis,and 12 cases of gangrenous, perforating or abscess;15 cases with complication after operation 20 cases without complication after operation） were collected. WBC count and CRP level were detected on the fifth day after operation,and the relationship between WBC count,CRP level and pathologic type, prognosis were analyzed. Results ：There were significant differences on WBC count and CRP level among different pathologic type groups （F = 312.86,355.10 ,P 〈 0.001 ）. WBC count and CRP level of group with complication after operation were higher than those of group without complication （ t = 138.09,61.84, P 〈 0.001 ）. Conclusion ： The dynamic examination of WBC count and CRP maybe help to evaluate the progress of infant acute appendicitis and its prognosis.

关 键 词：婴幼儿 急性阑尾炎 白细胞计数 C-反应蛋白 

分 类 号：R725.7[医药卫生—儿科]