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C-反应蛋白在急诊中鉴别小儿肠系膜淋巴结炎与急性阑尾炎中的意义 被引量:7

The role of C-reactive protein in the differential diagnosis of acute mesenteric lymphadenitis and acute appendicitis in children in emergency
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摘要 目的:探讨C-反应蛋白(CRP)在急诊中鉴别小儿肠系膜淋巴结炎与急性阑尾炎中的意义。方法:回顾性分析2002年1月~2012年1月因急性腹痛就诊我院,而后确诊为肠系膜淋巴结炎或急性阑尾炎的患儿临床资料。结果:确诊为急性阑尾炎的患儿CRP明显升高,而确诊为肠系膜淋巴结炎的患儿CRP阳性率为4.2%,两者绝对值比较差异具有统计学意义(17.3±10.4mg/L versus 6.4±2.8mg/L;P<0.01)。结论:在急诊中,CRP可以作为初步鉴别小儿肠系膜淋巴结炎与急性阑尾炎的一项快速有效的检查。 Objective Our retrospective study was aimed to determine the role of C-reactive protein in the differential diagnosis of acute mesenteric lymphadenitis and acute appendicitis in children in emergency. Methods Clinical data of patients who were diagnosed as appendicitis or mesenteric iymphadenitis from 2002 to 2012 was retrospectively analyzed. Results We found the acute appendicitis patients had a significant higher value of CRP than the patients who were diagnosed as acute mesenteric lymphadenitis (17.3±10.4mg/L versus 6.4±2.8mg/L; P〈0.01). Conclusion C-reactive protein play a very important role in the differential diagnosis of acute mesenteric lymphadenitis and acute appendicitis in children in emergency.
出处 《中国美容医学》 CAS 2012年第08X期37-38,共2页 Chinese Journal of Aesthetic Medicine
关键词 阑尾炎 肠系膜淋巴结炎 C-反应蛋白 鉴别诊断 Appendicitis acute mesenteric lymphadenitis C-reactive protein differential diagnosis
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参考文献3

  • 1李建,朱继峰小儿阑尾炎误诊分析及应对策略[J].中国美容医学,201l,20(6):5lO.511.
  • 2周建华.C-反应蛋白检测的临床价值[J].国外医学(临床生物化学与检验学分册),2004,25(2):183-184. 被引量:90
  • 3Wang WG,Tianh, Yanjy,et al.Enlarged mesanteric lymph nodes in children:a clinical analysis with ultasonography and the implications[J].Nan Fang Yi Ke Da Xue Xue Bao.2011.31(3):522.

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