急性发热患儿血液常规检验指标的临床诊断分析  

Diagnostic value of blood routine indicators in children with acute fever

作　　者：罗萍[1] 颜雪莹 王婷[1] 曾为红 李晓军[3] 

机构地区：[1]武汉市汉口医院检验科,湖北武汉430012 [2]武汉市汉口医院妇产科,湖北武汉430012 [3]武汉市汉口医院小儿科,湖北武汉430012

出　　处：《中华医院感染学杂志》2016年第15期3548-3550,共3页Chinese Journal of Nosocomiology

基　　金：湖北省卫生厅医药卫生科研基金资助项目(JX6B38)

摘　　要：目的探讨无明显感染灶急性发热患儿血液常规检验指标在临床诊断中的作用,给临床诊断和治疗提供理论依据。方法选取2014年10月-2015年9月于医院接受治疗的急性发热患儿128例作为研究对象,对其进行血液常规检验,根据临床最后的诊断结果,分析常规检查指标的临床意义。结果不同疾病严重程度患儿的外周血白细胞数比较,差异无统计学意义;严重疾病患儿C-反应蛋白及降钙素原水平明显高于非严重疾病患儿;外周血白细胞数比较,细菌感染与支原体属感染患儿差异无统计学意义,支原体属感染患儿明显高于病毒感染患儿,差异均有统计学意义(P<0.05)。结论 C-反应蛋白和降钙素原为无明显感染灶急性发热患儿的病原学诊断和发病程度判断提供依据,提高诊断准确性。OBJECTIVE To investigate the effect of diagnostic value of blood routine indicators in children with acute febrile with no obvious focus of infection,so as to provide a theoretical basis for clinical diagnosis and treatment.METHODS A total of 128 patients with acute fever treated in the hospital from Oct.2014 to Sept.2015 were selected as research subjects,who were given a blood routine test,according to the clinical final diagnosis to analyze the clinical significance of routine examination indicators.RESULTS The peripheral blood white cells counts of children in various severe diseases were compared and the difference had no significace.The levels of Creactive protein and the procalcitonin concentration in severe disease children were significantly higher than those in non-severe disease children.The peripheral blood white cells counts were under comparison,which had no significant difference between the children with bacterial infection and mycoplasma infections,but there was significant difference between children with mycoplasma infections and virus infection（P〈0.05）.CONCLUSIONThe Creactive protein and the procalcitonin could provide reference for the etiology diagnosis and disease severity judgments for children with acute fever but no obvious focus of infection,which improves the diagnostic accuracy.

关 键 词：急性发热 患儿 血常规检验 C-反应蛋白 降钙素原 

分 类 号：R446[医药卫生—诊断学]