Tarhani Fariba, Nezami Alireza, Heidari Ghobad
Department of Pediatrics, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
Int J Gen Med. 2020 May 27;13:243-247. doi: 10.2147/IJGM.S249221. eCollection 2020.
The aim of this study is to determine the distribution of the results of routine laboratory tests for the diagnosis of pneumonia in children in Khorramabad.
This is a cross-sectional study and was performed on 650 children with pneumonia who were referred to Shahid Madani Hospital. From patients' test results, the following data were recorded: whether the results were normal or not, age, sex, serotype, history of diabetes mellitus, and the presence of urinary and digestive tract symptoms.
There was no difference in the prevalence of pneumonia, gender-wise, whereas 40% of the patients were under 2 years. In addition, 53.7% of the patients were presented with leukocytosis. From the blood test, blood urea nitrogen, creatinine, sodium, and potassium were normal in most of the patients. Stool examination, urine analysis, urine culture, erythrocyte sedimentation rate, C-reactive protein, and blood sugar were also normal in these patients.
Children under the age of 2 years are more susceptible to lung infections. Findings from blood tests such as leukocytosis are useful for making initial diagnosis other than computed tomography scan. Other lab tests might not give any useful results. In addition, a closer examination of the urinary system and digestive tract involvement is recommended, prior to urine or stool analysis.
本研究旨在确定霍拉马巴德儿童肺炎诊断常规实验室检查结果的分布情况。
这是一项横断面研究，对转诊至沙希德·马达尼医院的650例肺炎患儿进行了研究。从患者的检查结果中记录了以下数据：结果是否正常、年龄、性别、血清型、糖尿病史以及是否存在泌尿系统和消化道症状。
肺炎患病率在性别方面无差异，40%的患者年龄在2岁以下。此外，53.7%的患者出现白细胞增多。在血液检查中，大多数患者的血尿素氮、肌酐、钠和钾均正常。这些患者的粪便检查、尿液分析、尿培养、红细胞沉降率、C反应蛋白和血糖也均正常。
2岁以下儿童更容易发生肺部感染。白细胞增多等血液检查结果有助于进行初步诊断，而非计算机断层扫描。其他实验室检查可能不会给出任何有用结果。此外，建议在进行尿液或粪便分析之前，更仔细地检查泌尿系统和消化道受累情况。
