Albu E, Miller B M, Choi Y, Lakhanpal S, Murthy R N, Gerst P H
Department of Surgery, Bronx-Lebanon Hospital Center, New York.
Dis Colon Rectum. 1994 Jan;37(1):49-51. doi: 10.1007/BF02047214.
Serum C-reactive protein was measured in 56 patients hospitalized with a suspected diagnosis of acute appendicitis. Based on these determinations, four groups of patients were defined: Group A = 26 patients with acute appendicitis who had a C-reactive protein level higher than 2.5 mg/dl. Group B = 4 patients with a C-reactive protein level lower than 2.5 mg/dl who, after surgery based on a presumed diagnosis of acute appendicitis, were found to have a normal appendix. Group C = 22 patients with nonspecific abdominal pain, 18 (72 percent) of whom had an elevated C-reactive protein level, although in only 4 (7.1 percent) were these levels higher than 2.5 percent mg/dl. Group D = 4 patients who had diseases other than acute appendicitis. It is concluded that an increase in C-reactive protein levels to more than 2.5 mg/dl is not a definite indicator of acute appendicitis. However, if the C-reactive protein level in blood drawn 12 hours after the onset of symptoms is less than 2.5 mg/dl, acute appendicitis can be excluded.
对56例疑似急性阑尾炎住院患者测定了血清C反应蛋白。根据这些测定结果，将患者分为四组：A组 = 26例急性阑尾炎患者，其C反应蛋白水平高于2.5mg/dl。B组 = 4例C反应蛋白水平低于2.5mg/dl的患者，在基于急性阑尾炎的推测诊断进行手术后，发现阑尾正常。C组 = 22例非特异性腹痛患者，其中18例（72%）C反应蛋白水平升高，尽管只有4例（7.1%）高于2.5mg/dl。D组 = 4例患有急性阑尾炎以外疾病的患者。结论是，C反应蛋白水平升高至超过2.5mg/dl并非急性阑尾炎的确切指标。然而，如果症状出现12小时后抽取的血液中C反应蛋白水平低于2.5mg/dl，则可排除急性阑尾炎。
