摘要
目的探讨C反应蛋白(CRP)和白细胞计数(WBC)的检测在小儿急性阑尾炎诊断中的价值。方法将三组阑尾炎病儿(急性单纯性阑尾炎21例,急性化脓性阑尾炎33例,急性坏疽性阑尾炎18例)和疑似病儿(72例)血CRP和WBC水平进行比较。结果①三组急性阑尾炎病儿与疑似病儿相比较,血CRP和WBC水平均较疑似病儿明显升高(P<0.01);②急性化脓性阑尾炎及急性坏疽性阑尾炎与急性单纯性阑尾炎相比较,血CRP和WBC水平明显升高(P<0.01)。结论在麦氏点压痛及WBC升高的基础上,结合血CRP的测定对小儿急性阑尾炎的诊断具有一定价值。
Objective To analyze the value of C-reactive protein （CRP） and total white blood cell （WBC） count in the diagnosis of acute appendicitis in children. Methods The CRP and WBC in serum of suspected cases and three groups of acute appendicitis were examined respectively. Results ①The serum CRP and WBC levels in three groups of acute appendicitis were much higher than that in those in the suspected cases with a significant difference （P〈0. 01） ;②The serum CRP and WBC levels in patients with suppurative and gangrenous appendicitis were much higher than that in those with smiple appendicitis （P〈0. 01 ）. Conclusion The serum CRP test had value to the diagnosis of acute appendicitis in children on the basis of the pain at McBurrey＇s point and WBC levels.
出处
《华中医学杂志》
2005年第4期291-292,共2页
Central China Medical Journal
