CAJ | 학술논문

目的总结发热门诊患者白细胞（WBC）和C-反应蛋白（C-reactive protein, CRP）的情况。方法回顾性分析2013年7-11月北京天坛医院发热门诊患者的初步诊断、血常规和CRP数据。结果发热患者877例，男女年龄组无差异（P=0.956）。初步诊断排名前3位的疾病分别为上呼吸道感染、肺炎、气管炎或支气管炎。在上呼吸道感染和肺炎患者中，男性WBC计数均明显高于女性[（10.75±4.12）×109/L vs.（9.77±3.90）×109/L, P =0.005；（10.43±4.01）×109/L vs.（8.97±3.31）×109/L, P =0.02）]。男性肺炎患者CRP高于女性（44.2 mg/L vs.32.0 mg/L, P =0.018）。结论<br>　　WBC和CRP联合检测能够较好评估发热患者，减少误诊和漏诊，还应重视淋巴细胞计数和中性粒细胞-淋巴细胞计数比值的评价。
목적총결발열문진환자백세포（WBC）화C-반응단백（C-reactive protein, CRP）적정황。방법회고성분석2013년7-11월북경천단의원발열문진환자적초보진단、혈상규화CRP수거。결과발열환자877례，남녀년령조무차이（P=0.956）。초보진단배명전3위적질병분별위상호흡도감염、폐염、기관염혹지기관염。재상호흡도감염화폐염환자중，남성WBC계수균명현고우녀성[（10.75±4.12）×109/L vs.（9.77±3.90）×109/L, P =0.005；（10.43±4.01）×109/L vs.（8.97±3.31）×109/L, P =0.02）]。남성폐염환자CRP고우녀성（44.2 mg/L vs.32.0 mg/L, P =0.018）。결론<br>　　WBC화CRP연합검측능구교호평고발열환자，감소오진화루진，환응중시림파세포계수화중성립세포-림파세포계수비치적평개。
Objective To summarize the charicteristics of white blood cells (WBC) and C-reactive protein (CRP) in febrile patients. Methods The data of the patients with the chief complaint of fever in the department of fever were retro-spectively analyzed from July to November, 2013, such as the primary diagnosis, WBC and CRP. Results A total of 877 patients with fever were studied. There was no age difference between male and female group (P = 0.956). The first three primary diagnoses were upper respiratory tract infection, pneumonia and tracheitis/bronchitis. Among upper respiratory tract infection and pneumonia, WBC count in the male group was higher than that in the female group [(10.75±4.12)×109/L vs. (9.77±3.90)×109/L, P = 0.005; (10.43±4.01)×109/L vs. (8.97±3.31)×109/L, P = 0.02)]. For the pneumonia, CRP in the male group was higher than that in the female group (44.2mg/L vs. 32.0mg/L, P=0.018). Conclusion The combina-tion of WBC and CRP may be a valuable markers for the diagnosis in patients with fever at the fever department. The lymphocyte count should be emphasized and neutrophil-lymphocyte count ratio should be measured for early diagnosis and treatment of patients with fever.