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C—反应蛋白在流行性乙型脑炎和化脓性脑膜炎鉴别诊断中的应用
The application of C—reactive protein in the differential diagnosis of epidemic encephalitis from suppurative meningitis
【摘要】 本文采用经我们改良的Hill氏沉淀环半量法做CRP测定,我们共采集63例病人78份血清标本,37例乙型脑炎47份血清标本(其中10例急性期及恢复期双份血清)全部阴性,26例化脓性脑膜炎31份血清标本中,急性期患者21例中18例阳性,阳性率达86.00%,10例恢复期患者全部阴性(其中5例急性期阳性,恢复期阴性)。因此认为,在乙型脑炎与化脓性脑膜炎早期鉴别诊断中,CRP是一种简易快速,敏感的实验室诊断方法。不受年龄性别,发热高低,症状的有无,治疗与否等因素的影响。并具有指导治疗及判断预后的意义,可以在临床上推广使用。
【Abstract】 This paper reports the qualitative test of C—reactive protein with the improved Hill’s precipitated circle-semi-quantitative method.78 serum samples, collected from 63 patients, were examined. It was shown that all of the 47 serum samples from 37 patients with epidemic encephalitis were negative (ten of them were double samples in acute and recovery stage). Of the 31 serum samples from 26 patients with suppurative meningitis, 18 out of 21 that in acute stage were positive (positive rate 86%), and 10 patients in recovery stage were negative (Five of them were doable samples. They were positive in acute stage, but negative in recovery stage). Thereby, C—reactive protein assag isa simple, fast, sensitive method in early differential diagnosis of epidemtc encephalitis from suppurative meningits. It is effective regardless o age, fever, symptoms, or using antibiotic or not. The method is important in guiding treatment and judging prognosis. It can be also widelyused in clinic.
- 【文献出处】 河南医科大学学报 , 编辑部邮箱 ,1986年04期
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