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[实验室检查对新生儿败血症早期诊断的价值]

[The value of laboratory tests for the early diagnosis of newborn sepsis].

作者信息

Hancioğlu E, Gürses N, Acar S, Koçak H, Baysal K, Uysal S, Aydin M

机构信息

Ondokuz Mayis Universitesi Cocuk Sağliği ve Hastaliklari Anabilim Dali, Samsun.

出版信息

Mikrobiyol Bul. 1991 Apr;25(2):151-9.

PMID:1745148
Abstract

In our study, laboratory tests were evaluated in the early diagnosis of newborn sepsis. The study consisted of 53 newborn infants with the diagnosis of suspected sepsis. Of the 53 newborn infants twenty seven were excluded from the study, because of negative blood culture. Remaining 26 newborns with positive blood culture and 15 healthy newborns comprised the study (sepsis group) and control group respectively. Total mature neutrophil count, immature/total neutrophil and immature/matür neutrophil ratio, toxic granulation changes, serum level of C-reactive protein and haptoglobin were found statistically higher in sepsis group than control group. Thrombocyte count and serum level of IgG were significantly lower in sepsis group. Average total white blood cell count, result of nitroblue tetrazolium tests erythrocyte sedimentation rate and serum level of IgM was similar in both groups. We emphasized that hematological scoring system, serum level of C-reactive protein and haptoglobins can be used in the early diagnosis of newborn sepsis.

摘要

在我们的研究中,对实验室检查在新生儿败血症早期诊断中的作用进行了评估。该研究包括53例被诊断为疑似败血症的新生儿。在这53例新生儿中,有27例因血培养阴性而被排除在研究之外。其余26例血培养阳性的新生儿和15例健康新生儿分别组成了研究组(败血症组)和对照组。结果发现,败血症组的总成熟中性粒细胞计数、未成熟/总中性粒细胞及未成熟/成熟中性粒细胞比值、中毒颗粒变化、血清C反应蛋白和触珠蛋白水平在统计学上高于对照组。败血症组的血小板计数和血清IgG水平显著降低。两组的平均总白细胞计数、硝基蓝四氮唑试验结果、红细胞沉降率和血清IgM水平相似。我们强调,血液学评分系统、血清C反应蛋白和触珠蛋白水平可用于新生儿败血症的早期诊断。

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