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目的:探讨血清中C反应蛋白(CRP)、血沉(ESR)的检测对儿童早期感染鉴别诊断的价值。方法:检测感染儿童82例及体检儿童15例的血常规、血沉、及血清中C反应蛋白的含量。结果:细菌感染组与病毒感染组、对照组比较,CRP、WBC明显升高,差异性显著(P<0.001)。细菌感染组与病毒感染组ESR均升高,但细菌感染组升高明显些。CRP与ESR相比,CRP的特异性及灵敏性都较ESR好。结论:小儿急性感染时,CRP、WBC、ESR的检测有助于疾病早期的鉴别诊断,对于细菌性感染和病毒性感染的鉴别诊断有一定的价值。
Objective: To investigate the value of serum C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in differential diagnosis of early childhood infection. Methods: The blood samples, erythrocyte sedimentation rate (ESR) and serum C-reactive protein levels in 82 cases of infected children and 15 cases of children were detected. Results: The CRP and WBC of bacterial infection group were significantly higher than that of virus infection group and control group (P <0.001). The ESR of bacterial infection group and virus infection group were increased, but the bacterial infection group increased significantly. Compared with ESR, CRP is more specific and sensitive than ESR. Conclusion: The detection of CRP, WBC and ESR is helpful for the early differential diagnosis of acute infection in children. It has certain value in the differential diagnosis of bacterial infection and viral infection.