CAJ | 학술논문

目的：探讨白细胞（WBC）计数、C反应蛋白（CRP）、血沉（ESR）与肺炎支原体（MP）肺炎的关系，为激素的使用提供实验室依据。方法回顾性分析2008年1月～2012年12月住院确诊的 MP肺炎患儿的 WBC计数、CRP及 ESR检测结果。结果 MP肺炎发生肺外并发症或胸部 X线片表现为大片状致密阴影以及使用糖皮质激素者，WBC，CRP，ESR升高较无肺外并发症、胸部 X线片表现为斑片状或云絮状阴影以及未使用糖皮质激素者明显（P＜0.05）。结论当 MP肺炎患儿 WBC，CRP和 ESR明显升高时，在排除细菌感染后，可以及早使用糖皮质激素治疗。
목적：탐토백세포（WBC）계수、C반응단백（CRP）、혈침（ESR）여폐염지원체（MP）폐염적관계，위격소적사용제공실험실의거。방법회고성분석2008년1월～2012년12월주원학진적 MP폐염환인적 WBC계수、CRP급 ESR검측결과。결과 MP폐염발생폐외병발증혹흉부 X선편표현위대편상치밀음영이급사용당피질격소자，WBC，CRP，ESR승고교무폐외병발증、흉부 X선편표현위반편상혹운서상음영이급미사용당피질격소자명현（P＜0.05）。결론당 MP폐염환인 WBC，CRP화 ESR명현승고시，재배제세균감염후，가이급조사용당피질격소치료。
Objective To study the correlations of the concentration of WBC count,CRP and ESR in the course of Mycoplas-ma pneumoniae (MP)pneumonia and to provide laboratory basis for the use of the hormone.Methods The WBC count, CRP and ESR test results of MP pneumonia patients with hospital diagnosed from Jan 2008 to Dec 2012 were analyzed retro-spectively.Results The WBC,CRP and ESR were significantly higher in patients with extrapulmonary complications in-duced by mycoplasma pneumoniae (MP)pneumonia,chest X-ray showed large sheet density shadow or the glucocorticoids user,than those who with no extrapulmonary complications,chest X-ray showed patchy or ground-galss opacities and not u-sing glucocorticoids (P<0.05).Conclusion When the WBC,CRP and ESR were significantly higher in patients rule out bacterial infection induced by mycoplasma pneumoniae (MP)pneumonia,can using glucocorticoid therapy as early as possi-ble.