天津市第五中心医院14例甲型H1N1确诊病例检验结果分析

Analysis of Inspection Result of 14 Cases of H1N1 Patiens in No.5 Centre Hospital

目的分析临床检验结果，总结该病的临床救治经验，评价临床检验指标对该病的辅助诊断意义。方法统计临床14例确诊病例检验结果。并与正常人群比较。结果所有病例均进行了三大常规、生化，免疫，临检，胸片、心电图等检查，主要表现白细胞数量总体正常或下降，多数病例出现数量不等的异型淋巴细胞，合并有肝损害、心肌受损，CRP增高，IgE免疫复合物增高及支气管炎。结论除甲型H1N1流感病毒核酸检测可确诊该病，临床常规检验可在早期提示甲型H1N1流感，临床医生可进行反复检查辅助临床诊断，观察病情动态及预后。

Objective To analyze the clinical test results, summarized experience of clinical treatment of the disease, the evaluation indicators of clinical examination for the diagnosis of the disease significance. Methods 14 eases of clinically confirmed cases of statistical test results, and compared with the normal population. Results All patients had three routine, biochemical, immunological, rummage, chest radiograph, electrocardiogram and other tests, mainly the overall decline in the number of white blood cells, the majority of cases of the disease, ranging from the number of atypical lymphoeytes, associated with liver damage, heart damage , CRP increased, IgE immune complexes increase and bronchitis. Conclusion In addition to detection of influenza A H1N1 influenza virus nucleic acid can be diagnosed the disease, routine clinical examination may be prompted in the early H1N1, clinicians can assist the clinical diagnosis of repeated examination to observe the dynamic condition and prognosis.