小儿肺炎患者血清心肌酶谱、CRP检测的临床应用  

Clinical Application of the Determintion of Serum Myocardium Enzyme Profile and CRP in Pediatric Patients with Various Type of Pneumonia

作　　者：翟春玺[1] 蔡庆岭[1] 张风菊[1] 

机构地区：[1]山东省聊城市第二人民医院,252601

出　　处：《放射免疫学杂志》2004年第1期77-79,共3页Journal of Radioimmanology

摘　　要：目的 :观察 384例肺炎患儿心肌酶谱和CRP的变化。方法 :心肌酶谱测定采用酶动力学法 ,CRP采用超敏免疫比浊法。数据采用X2 检验。结果 :心肌酶谱增高以LDH、CPK、AST为主 ,CRP增高以细菌性肺炎最明显 ,其他类型肺炎增高不明显 ,尤其是病毒性肺炎CRP几乎无变化 ,两者差异显著。结论 :CRP是区别细菌感染和病毒感染的有用指标 ,CRP配合心肌酶谱同时测定 ,不仅有利于疾病早期诊断 。Objective To investigate the changes of serum myocardium enzyme profile and CRP in 384 pediatric patients with different types of pneumonia. Methods Serum myocardium enzyme profiles were defined with ELISA and CRP determined with in 384 pediatric patients (viral pneumenia 116, bacterial pneumonia 202, pneumonia with other pathogens 66). Results Among the myocardium enzymes, those increased most were LDH, CPK and AST. CRP was markedly increased in bacterial pneumonia, but not 80 in other types (almost no change in viral pneumonia). Conclusion CRP determination is very useful for the differentioal diagnosis of the types of pneumonia, especially between the bacterial and viral types. Combined determination of CRP and myocardium enzymes is belpful for the management of the disease.

关 键 词：小儿 肺炎 血清 心肌酶谱 CRP 临床应用 酶动力学法 

分 类 号：R725.631[医药卫生—儿科]