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C反应蛋白在急性白血病化疗后粒缺期感染中的意义
作者:韩晓博  
单位:海军总医院
关键词:急性白血病 C反应蛋白 感染 
分类号:
出版年·卷·期(页码):2014··第二期(0-)
摘要:

[摘要]目的:探讨C反应蛋白(CRP)对急性白血病化疗后粒缺期感染及感染程度的诊断价值。方法:选择急性白血病化疗后粒缺期合并感染的46例患者,按照感染程度分为严重感染组和非严重感染组,检测感染症状出现24小时内的血常规及CRP。选取同时期相似未感染病例18例作为对照。结果:严重感染组CRP显著高于非严重感染组及未感染组,差异有统计学意义(P<0.05);非严重感染组CRP显著高于未感染组,差异有统计学意义(P<0.05);严重感染组中性粒细胞绝对值(ANC)低于非严重感染组及未感染组,但差异无统计学意义(P>0.05);严重感染组ANC与未感染组比较,差异无统计学意义(P>0.05)。结论:CRP可以作为急性白血病粒缺期合并感染的检测指标,对于感染程度的判断有较好的辅助作用。

[Abstract] Objective: To study the value of C reactive protein (CRP) in diagnosis of infection among patients with Leukemia, neutropenia after Chemotherapy. Methods: 64 people were divided into three groups: the severe infection group (n=12), the local infection group (n=34) and the non-infection group (n=18). Blood sample was collected in order to determine the level of CRP and absolute neutrophil count (ANC) at the onset of infection. Results: The serum level of CRP in the severe infection group was significantly higher than those in the local infection group and non-infection group (P<0.05). The serum levels of CRP in the local infection group was significantly higher than those in the non-infection group (P<0.05). ANC had no significant difference among the three groups (P>0.05). Conclusion: The serum levels of CRP can be an useful indicator in diagnosing neutropenic infection and severity of infection among patients with Leukemia.

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