WBC，CRP和ESR联合检测在肺炎支原体肺炎中的意义  

Significance of Combining with WBC,CRP and ESR Detection in Patients with Mycoplasma Pneumoniae Pneumonia

作　　者：徐祖龙[1] 董苏荣[1] 张亚明[2] 

机构地区：[1]泰州市人民医院临床医学检验中心,江苏泰州225300 [2]泰州市人民医院儿科,江苏泰州225300

出　　处：《现代检验医学杂志》2015年第1期153-155,158,共4页Journal of Modern Laboratory Medicine

摘　　要：目的：探讨白细胞（WBC）计数、C反应蛋白（CRP）、血沉（ESR）与肺炎支原体（MP）肺炎的关系，为激素的使用提供实验室依据。方法回顾性分析2008年1月-2012年12月住院确诊的 MP肺炎患儿的 WBC计数、CRP及 ESR检测结果。结果 MP肺炎发生肺外并发症或胸部 X线片表现为大片状致密阴影以及使用糖皮质激素者，WBC，CRP，ESR升高较无肺外并发症、胸部 X线片表现为斑片状或云絮状阴影以及未使用糖皮质激素者明显（P＜0.05）。结论当 MP肺炎患儿 WBC，CRP和 ESR明显升高时，在排除细菌感染后，可以及早使用糖皮质激素治疗。Objective To study the correlations of the concentration of WBC count,CRP and ESR in the course of Mycoplasma pneumoniae （MP）pneumonia and to provide laboratory basis for the use of the hormone.Methods The WBC count, CRP and ESR test results of MP pneumonia patients with hospital diagnosed from Jan 2008 to Dec 2012 were analyzed retrospectively.Results The WBC,CRP and ESR were significantly higher in patients with extrapulmonary complications induced by mycoplasma pneumoniae （MP）pneumonia,chest X-ray showed large sheet density shadow or the glucocorticoids user,than those who with no extrapulmonary complications,chest X-ray showed patchy or ground-galss opacities and not using glucocorticoids （P〈0.05）.Conclusion When the WBC,CRP and ESR were significantly higher in patients rule out bacterial infection induced by mycoplasma pneumoniae （MP）pneumonia,can using glucocorticoid therapy as early as possible.

关 键 词：白细胞计数 C反应蛋白 红细胞沉降率 肺炎支原体 肺炎 

分 类 号：R563.15[医药卫生—呼吸系统] R446.11[医药卫生—内科学]