Castro-Gago M, Sanguiñedo P, García C, Pombo M, Ugarte J, Cabanas R, Peña J
An Esp Pediatr. 1982 Jan;16(1):47-52.
The C-reactive protein, leukocytes count and erythrocyte sedimentation rate, were determined in 32 hydrocephalus children treated with shunt, on the 1st day, 5th day and 10th day postintervention. C-reactive protein was positive on the 5th day postintervention in the 66.6% of the patients with infection and the 100% of these patients on the 10th day. In three patients C-reactive protein was the first sign of infection. In 33.3% of the patients with infectious complications, C-reactive protein positive was earlier than leukocytes and erythrocyte sedimentation rate abnormalities. From these findings, authors suggest C-reactive protein as valuable test in the postoperative control of the hydrocephalus children and should alert to the possibility of a infectious complication.
对32例接受分流治疗的脑积水患儿在干预后第1天、第5天和第10天测定了C反应蛋白、白细胞计数和红细胞沉降率。在感染患者中,66.6%的患者在干预后第5天C反应蛋白呈阳性,而在第10天所有这些患者均呈阳性。在3例患者中,C反应蛋白是感染的首个迹象。在33.3%发生感染并发症的患者中,C反应蛋白阳性早于白细胞和红细胞沉降率异常。基于这些发现,作者认为C反应蛋白是脑积水患儿术后监测的一项有价值的检测指标,应警惕感染并发症的可能性。