首页|血常规等多种因子检测在儿童传染性疾病鉴别诊断中的价值

血常规等多种因子检测在儿童传染性疾病鉴别诊断中的价值

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目的 探讨血常规联合C反应蛋白(C-reactive protein,CRP)、降钙素原检测在儿童传染性单核细胞增多症与化脓性扁桃体炎鉴别诊断中的价值。方法 选取 2021 年 4 月—2023年 8 月广东省中西医结合医院/佛山市南海区中医院收治的51 例传染性单核细胞增多症患儿为对照组,同期的 62 例化脓性扁桃体炎患儿为研究组。均给予实验室指标检测,对 2 组的血常规指标、临床表现、降钙素原水平、CRP水平进行比较。结果 2 组白细胞计数水平比较,差异无统计学意义(P>0。05);研究组中性粒细胞计数、血小板计数水平分别为(9。31±5。04)、(290。27±95。22)×109/L,高 于 对 照 组 的(3。29±1。40)、(221。59±70。33)×109/L(P<0。05);研究组淋巴结肿大发生率低于对照组(P<0。05);研究组降钙素原、CRP水平均高于对照组(P<0。05)。结论 在鉴别诊断化脓性扁桃体炎以及传染性单核细胞增多症中,联合应用降钙素原、血常规以及CRP检测效果理想,有利于确诊率的提高。
The Value of Blood Routine and Other Factors Detection in the Differential Diagnosis of Infectious Diseases in Children
Objective To explore the value of blood routine combined with C-reactive protein(CRP)and procalcitonin detection in the differential diagnosis of infectious mononucleosis and suppurative tonsillitis in children.Methods A total of 51 cases of infectious mononucleosis children in Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine/Foshan Nanhai District Hospital of Traditional Chinese Medicine treated from April 2021 to August 2023 were selected as the control group,and 62 cases of suppurative tonsillitis children in the same period were selected as the study group.Laboratory indicators were detected.The blood routine indexes,clinical manifestations,procalcitonin levels and CRP levels of the two groups were compared.Results There was no significant difference in leukocyte count between the two groups(P>0.05).The levels of neutrophil count and platelet count in the study group were(9.31±5.04),(290.27±95.22)×109/L,respectively,which were higher than those in the control group(3.29±1.40),(221.59±70.33)×109/L(P<0.05).The incidence of lymph node enlargement in the study group was lower than that in the control group(P<0.05).The levels of procalcitonin and CRP in the study group were higher than those in the control group(P<0.05).Conclusion In the differential diagnosis of suppurative tonsillitis and infectious mononucleosis,the combined application of procalcitonin,blood routine and CRP is ideal,which is conducive to the improvement of the diagnosis rate.

blood routineC-reactive proteinprocalcitonininfectious mononucleosissuppurative tonsillitislymphadenopathy

刘志锋、姜朝新

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广东省中西医结合医院/佛山市南海区中医院检验科,广东 佛山 528200

血常规 C反应蛋白 降钙素原 传染性单核细胞增多症 化脓性扁桃体炎 淋巴结肿大

佛山市南海区高水平医学重点专科建设项目(十四五)

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(10)
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