C反应蛋白对急性阑尾炎和右侧尿路结石诊断的意义

The significance of serum CRP in differential diagnosis of acute appendicitis and right side lithangiuria.

目的探讨血清C反应蛋白(CRP)在急性阑尾炎中的诊断价值,以及在急性阑尾炎与右侧尿路结石鉴别诊断中的意义。方法回顾性分析我院急诊83例右下腹疼痛伴血尿患者CRP检查结果及最后确诊病历资料。结果 83例右下腹疼痛伴血尿患者,早期CRP>8 mg/L 62例,均确诊为急性阑尾炎,其中6例诊断急性阑尾炎合并泌尿系结石,21例泌尿系结石者患者CRP未见明显升高。结论血清CRP的检测对急性阑尾炎的诊断,以及急性阑尾炎与右侧尿路结石的鉴别诊断有重要意义。

Objective To analyze the clinical significance of serum C-reactive protein（CRP） in diagnosis of acute appendicitis and in differential diagnosis of acute appendicitis with right side lithangiuria.Methods The results of serum CRP determination and final diagnosis of 83 patients with right lower quadrant abdominal pain and hematuria in emergency department of this hospital were retrospectively reviewed and ana-lyzed.Results Among 83 patients with right lower quadrant abdominal pain and hematuria,62 cases with early CRP 8 mg/L were diagnosed as acute appendicitis including 6 of them associated with lithangiuria,and 21 cases of urinary stones showed no obvious elevation of serum level of CRP.Conclusion The determination of serum level of CRP is valuable in diagnosis of acute appendicitis and in differential diagnosis of acute ap-pendicitis with right side lithangiuria.