摘要
目的：探讨超敏C反应蛋白（HscRP）检测在小儿细菌性肺炎、病毒性肺炎和支原体肺炎诊断中的临床意义。方法：采用免疫透射比浊法测定血清C反应蛋白浓度值，同时做支原体和细菌培养及白细胞（WBC）计数和分类。结果：102例细菌性肺炎肺炎患者中（A组）HSCRP〉8mg／L，阳性率为94．12％；58例支原体患者中（B组）阳性率为89．55％；65例病毒性肺炎患者（C组）中阳性率为10．77％；40例健康对照组（D组）中阳性率为7．50％。A、B组与D组阳性率差异性显著（P〈0．01）；而C组与D组相比无显著性差异（P〉0．05）。A、D两纽临床治愈后复查HSCRP水平与治疗前浓度差异显著（P〈0．05）。结论：HSCRP检测在小儿肺炎急性期诊断鉴别中有辅助作用，对临床用药有一定指导意义。
objective：Study the high- sensitivity C- reactive protein （HSCRP） detection to children with bacterial pneumonia, viral pneumonia and mycoplasma pneumonia for the diagnosis of clinical significance. Methods ： serum C - reactive protein concentration was tested by Immunohistochemical transmission turbidimetry , while doing Mycoplasma and bacterial culture and white blood cell （WBC） count and classification. Result： 102 patients with bacterial pneumonia （A group） HSCRP 〉 3mg/L, the positive rate was 97% ;58 patients with viral pneumonia （B group） , the positive rate was 92% ; 65 patients with mycoplasma pneumonia（ C group）, the positive rate was 16.8% ; 40 cases of normal children, the positive rate was 6.4%. A, B two sets of results and D group resuhs is significant difference （ P 〈 0. 01 ） ; but C group results and D group results is not significant difference（ P 〉 0.05 ） o conclusion： HSCRP detection can helping to diagnosis of the children with pneumonia and the clinical use of drugs have some guiding significance.
