血清CRP在小儿肺炎支原体肺炎中的临床意义

On Clinical Significance of C--reactive Protein in Mycoplasmai Pneumonia

目的：探讨血清C-反应蛋白（CRP）在小儿肺炎支原体肺炎中的临床意义。方法：细菌性支气管肺炎和肺炎支原体肺炎患儿各80例，采用酶联免疫法检测其血清CRP。结果：细菌性支气管肺炎组CRP阳性率为88．75％，肺炎支原体肺炎组CRP阳性率为63．75％，差异有非常显著性（P〈0．01）。结论：CRP检测对肺炎支原体肺炎与细菌性肺炎的早期鉴别及临床用药有一定的指导意义。当肺炎支原体肺炎患儿CRP升高时，可考虑为肺炎支原体和细菌混合感染，或提示有较严重并发症的可能。

Objective： To explore the clinical significance of C-reactive protein in mycoplasmal pneumonia. Methods： Serum levels of C-reactive protein （CRP） were measured in 80 patients bacterial pneumonia and 80 patients with mycoplasmal pneurmonia by ELISA. Results： CRP positive rate in the bacterial pneumonia group was 88. 75% and 63. 75% in mycoplasmal pneumonia group （P〈0.01）. Conclusion： CRP measurement is helpful to make differential diagnosis between bacterial pneumonia and macoplasmal pneumonia and to direcinal therapies. Increasing serum CRP in macoplasmal pneumonia could help predict the mixedinfection of macoplasmal pneumoniae and bacterium or the occurrence of serious complication.