[1]徐祖龙a,董苏荣a,张亚明b.WBC,CRP和ESR联合检测在肺炎支原体肺炎中的意义[J].现代检验医学杂志,2015,30(01):153-155.[doi:10.3969/j.issn.1671-7414.2015.01.046]
　XU Zu-longa,DONG Su-ronga,ZHANG Ya-mingb.Significance of Combining with WBC,CRP and ESR Detection in Patients with Mycoplasma Pneumoniae Pneumonia[J].Journal of Modern Laboratory Medicine,2015,30(01):153-155.[doi:10.3969/j.issn.1671-7414.2015.01.046]
点击复制

WBC,CRP和ESR联合检测在肺炎支原体肺炎中的意义()
分享到：

《现代检验医学杂志》[ISSN:/CN:]

卷:
第30卷
期数:
2015年01期
页码:
153-155
栏目:
检验与临床
出版日期:
2015-01-30

文章信息/Info

Title:
Significance of Combining with WBC,CRP and ESR Detection in Patients with Mycoplasma Pneumoniae Pneumonia
文章编号:
1671-7414(2015)01-153-04
作者:
徐祖龙a; 董苏荣a; 张亚明b
泰州市人民医院 a.临床医学检验中心;
b.儿科,江苏泰州 225300
Author(s):
XU Zu-longa; DONG Su-ronga; ZHANG Ya-mingb
a.Clinical Laboratory Center;
b.Paediatrician,Taizhou People's Hospital,Jiangsu Taizhou 225300,China
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; R446.11
DOI:
10.3969/j.issn.1671-7414.2015.01.046
文献标志码:
A
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。
Abstract:
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 significantlyhigher 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.

参考文献/References:

[1] Yang E,Altes T,Anupindi SA.Early Mycoplasma pneumoniae infection presenting as multiple pulmonary masses:anunusual presentation in a child[J].Pediatr Radiol,2008,38(4):477-480.
[2] Youn YS,Lee KY,Hwang JY,et al.Difference of clinical features in chindhood Mycoplasma pneumoniae pneumonia[J].BMC Pediatr,2010,10(1):48.
[3] Tamura A,Matsubara K,Tanaka T,et al.Methylprednisolone pulse therapyfor refractory Mycoplasma pneumoniae pneumonia in children[J].J Infect,2008,57(3):223-228.
[4] 曹兰芳.儿童难治性肺炎支原体肺炎的诊治现状和进展[J].临床儿科杂志,2010,28(1):94-97. Cao LF.Current diagnosis and treatment in children with refractoryMycoplasma pneumoniae pneumonia[J].J Clin Pediatrics,2010,28(1):94-97.
[5] 胡亚美,江载芳.诸福棠实用儿科学[M].7版.北京:人民卫生出版社,2002:1204-1205. Hu YM,Jiang ZF.Zhu Fu Tang practical pediatrics[M].7th Ed.Beijing:People's Medical Publishing House,2002:1204-1205.
[6] 王 全,蒋健飞,赵德育.肺炎支原体肺炎发生肺外并发症的危险因素[J].中华实用儿科临床杂志,2013,28(10):749-751. Wang Q,Jiang JF,Zhao DY.Risk factors of extrapulmonary complications after Mycoplasma pneumoniae pneumonia[J].Journal of Applied ClinicalPediatrics,2013,28(10):749-751.
[7] 中华医学会呼吸病学分会感染学组.成人肺炎支原体肺炎诊治专家共识[J].中华结核和呼吸杂志,2010,33(9):643-645. Chinese society of respiratory diseases,the infection group.The expert consensus of diagnosis and treatment on adult Mycoplasma pneumoniae pneumonia[J].Chin J Tuberc Respir Dis,2010,33(9):643-645.
[8] Waites KB,Atkinson TP.The role of mycoplasma in upper respiratory infections[J].Curr Infect Dis Rep,2009,11(3):198-206.
[9] 陈秋芳,余 刚,张海邻,等.小儿支原体肺炎的临床、影像学及内镜特点[J].临床儿科杂志,2009,27(1):42-45. Chen QF,Yu G,Zhang HL,et al.The features of clinic, radiographyand bronchoscope of Mycoplasma pneumoniae pneumonia in children[J].J Clin Pediatrics,2009,27(1):42-45.
[10] 周明莉,蔡爱玲,王雪峰.C-反应蛋白检测在小儿支原体肺炎急性感染中的价值[J].国际检验医学杂志,2010,31(12):1392-1393. Zhou ML,Cai AL,Wang XF.C-reactive protein detection value of in children with acute Mycoplasma pneumonia infection[J].International Journal ofLaboratory Medicine,2010,31(12):1392-1393.
[11] 俞珍惜,刘秀云,江载芳.儿童重症肺炎支原体肺炎急性期的相关因素分析[J].实用儿科临床杂志,2011,26(4):246-249. Yu ZX,Liu XY,Jiang ZF.Analysis of relevant factors of severe Mycoplasma pneumoniae pneumonia in acute phase in children[J].Journal of Applied Clinical Pediatrics,2011,26(4):246-249.
[12] 张永明,刘秀云.肺炎支原体肺炎及其并发症的诊治进展[J].中国当代儿科杂志,2011,13(4):358-360. Zhang YM,Liu XY.Advance in the diagnosis and treatment of Mycoplasma pneumoniae pneumonia and related complications[J].Chinese Journal of Contemporary Pediatrics,2011,13(4):358-360.

相似文献/References:

[1]卫 娜,杨小丽,尚 亮.盐水负荷试验盐敏感者的大动脉弹性变化及其与C反应蛋白和单核细胞趋化蛋白1的相关性研究[J].现代检验医学杂志,2016,31(02):49.[doi:10.3969/j.issn.1671-7414.2016.02.015]
　WEI Na,YANG Xiao-li,SHANG Liang.Relation between C-reaction Protein,Monocyte Chemoattractant Protein1 and the Change of Arterial Elasticity in Salt Sensitivity Patients[J].Journal of Modern Laboratory Medicine,2016,31(01):49.[doi:10.3969/j.issn.1671-7414.2016.02.015]
[2]薛鸿涛,任 敏,李长彬.非小细胞肺癌患者放疗前后血清TSGF和CRP的变化及其临床意义[J].现代检验医学杂志,2016,31(02):136.[doi:10.3969/j.issn.1671-7414.2016.02.041]
　XUE Hong-tao,REN Min,LI Chang-bin.Impact and Clinical Significance of Radiotherapy on Serum TSGF and CRP in Patients with Non Small Cell Lung Cancer[J].Journal of Modern Laboratory Medicine,2016,31(01):136.[doi:10.3969/j.issn.1671-7414.2016.02.041]
[3]汪怀周,陈 燕,岳展伊,等.C反应蛋白测定两种检测系统间结果的比较[J].现代检验医学杂志,2016,31(03):127.[doi:10.3969/j.issn.1671-7414.2016.03.036]
　WANG Huai-zhou,CHEN Yan,YUE Zhan-yi,et al.Comparison of Different Assay System for C-reactive Protein Detection[J].Journal of Modern Laboratory Medicine,2016,31(01):127.[doi:10.3969/j.issn.1671-7414.2016.03.036]
[4]解娟a,袁军a,张艳b,等.血清淀粉样蛋白A(SAA)在儿童手足口病中的临床应用[J].现代检验医学杂志,2016,31(06):102.[doi:10.3969/j.issn.1671-7414.2016.06.029]
　XIE Juana,YUAN Juna,ZHANG Yanb,et al.Clinical Application of Serum Amyloid A(SAA) in Children with Hand Foot and Mouth Disease[J].Journal of Modern Laboratory Medicine,2016,31(01):102.[doi:10.3969/j.issn.1671-7414.2016.06.029]
[5]黄 允,李 艳,彭 锐,等.HBV感染致肝损伤患者CRP,hsCRP和SAA临床价值的探讨[J].现代检验医学杂志,2017,32(02):49.[doi:10.3969/j.issn.1671-7414.2017.02.013]
　HUANG Yun,LI Yan,PENG Rui,et al.Clinical Significance of SAA,CRP and hsCRP in HBV Hepatopathy Patients[J].Journal of Modern Laboratory Medicine,2017,32(01):49.[doi:10.3969/j.issn.1671-7414.2017.02.013]
[6]郝婷婷,温彦丽,戴光荣,等.血清尿素氮水平与上消化道出血关系的研究[J].现代检验医学杂志,2017,32(03):86.[doi:10.3969/j.issn.1671-7414.2017.03.023]
　HAO Ting-ting,WEN Yan-li,DAI Guang-rong,et al.Research on Relationship of Serum Urea Nitrogen Level and Upper Gastrointestinal Bleeding[J].Journal of Modern Laboratory Medicine,2017,32(01):86.[doi:10.3969/j.issn.1671-7414.2017.03.023]
[7]殷波涛a,苏斌涛,岳艳玲b.抗中性粒细胞胞浆抗体相关性血管炎患者血清RF水平检测与BVAS相关性分析[J].现代检验医学杂志,2018,33(04):55.[doi:10.3969/j.issn.1671-7414.2018.04.014]
　YIN Bo-taoa,SU Bin-tao,YUE Yan-lingb.Serum Level of RF in Antineutrophil Cytoplasmic Antibody Associated Vasculits and Its Correlation with BVAS2003[J].Journal of Modern Laboratory Medicine,2018,33(01):55.[doi:10.3969/j.issn.1671-7414.2018.04.014]
[8]张国辉.血液HBP,CRP和WBC联合检测对儿童脓毒血症早期诊断价值研究[J].现代检验医学杂志,2018,33(04):107.[doi:10.3969/j.issn.1671-7414.2018.04.029]
　ZHANG Guo-hui.Value of Combined Detection of Blood HBP,CRP and WBC in Early Diagnosis of Children's Sepsis[J].Journal of Modern Laboratory Medicine,2018,33(01):107.[doi:10.3969/j.issn.1671-7414.2018.04.029]
[9]王结珍,梁培松,王伟佳,等.血清PCT,IL-6和CRP水平检测对白血病患者化疗并发败血症的诊断价值[J].现代检验医学杂志,2019,34(02):88.[doi:10.3969/j.issn.1671-7414.2019.02.023]
　WANG Jie-zhen,LIANG Pei-song,WANG Wei-jia,et al.Diagnostic Value of Serum PCT,IL-6 and CRPin Septicemia Patients with Leukemia in Chemotherapy[J].Journal of Modern Laboratory Medicine,2019,34(01):88.[doi:10.3969/j.issn.1671-7414.2019.02.023]
[10]赵培斐,张晓芬,陈亚宁.血清β-HCG,CRP水平检测结合子宫动脉血流超声指标对胎儿宫内窘迫及宫内感染的诊断价值[J].现代检验医学杂志,2019,34(05):89.[doi:10.3969/j.issn.1671-7414.2019.05.022]
　ZHAO Pei-fei,ZHANG Xiao-fen,CHEN Ya-ning.Diagnostic Value of Serum β-HCG,CRP Level Combinedwith Uterine Artery Blood Flow Ultrasound Index for Intrauterine Distress and Intrauterine Infection[J].Journal of Modern Laboratory Medicine,2019,34(01):89.[doi:10.3969/j.issn.1671-7414.2019.05.022]

备注/Memo

备注/Memo:

作者简介:徐祖龙(1978-),男,本科,副主任技师,研究方向:临床检验与小儿疾病的诊断与治疗。
通讯作者:董苏荣,E-mail:tz dsr@163.com。
更新日期/Last Update: 2015-01-30