急性发热患儿血液常规检验指标的临床诊断分析

发布时间：2019-03-16 11:27

【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(P0.05)。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。
[Abstract]:Objective to investigate the role of routine blood test indexes in clinical diagnosis of children with acute fever without obvious infection focus, and to provide theoretical basis for clinical diagnosis and treatment. Methods 128 children with acute fever who were treated in hospital from October 2014 to September 2015 were selected as the subjects and their blood routine tests were carried out. According to the final diagnosis results, the clinical significance of routine examination indexes was analyzed. Results there was no significant difference in the number of white blood cells in children with different severity of disease, while the levels of C-reactive protein and procalcitonin in children with severe diseases were significantly higher than those in children with non-severe diseases. There was no significant difference between bacterial infection and mycoplasma infection in peripheral blood leukocyte count, but the difference between mycoplasma infection and mycoplasma infection was significantly higher than that of virus infection (P0.05). Conclusion C-reactive protein and procalcitonin can provide the basis for etiological diagnosis and diagnosis of acute fever without obvious infection, and improve the accuracy of diagnosis.
【作者单位】：武汉市汉口医院检验科;武汉市汉口医院妇产科;武汉市汉口医院小儿科;
【基金】：湖北省卫生厅医药卫生科研基金资助项目(JX6B38)
【分类号】：R446.111;R725

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