ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2015, Vol. 7 ›› Issue (6): 572-574.doi: 10.3969/j.issn.1674-3865.2015.06.013

• 临床研究 • 上一篇    下一篇

肺炎婴儿危重病例评分与血小板数量关系探讨

廖景文   

  1. 365000 福建 三明,福建医科大学附属三明第一医院儿科
  • 出版日期:2015-12-25 发布日期:2018-11-19
  • 作者简介:廖景文(1968-),男,主任医师。研究方向：儿科危重症,E-mail:lfunny@126.com

Investigation into the relationship between the platelet count and the severity of pneumonia in infants

LIAO Jingwen   

  1. Department of Pediatrics,Sanming First Hospital Affiliated to Fujian Medical University,Sanming 365000,China
  • Online:2015-12-25 Published:2018-11-19

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摘要：
目的: 探讨血小板数量与婴儿肺炎严重程度的关系。
方法: 福建医科大学附属三明第一医院儿科2011-11/2013-02收治166例肺炎患儿,根据入院24 h内小儿危重病例评分法分为非危重组76例、危重组69例和极危重组21例,3组均在入院后24 h内采集末梢血测定血小板,对3组患儿末梢血血小板数量和人数分布进行对比。
结果: 末梢血血小板数量危重组(427.1±73.6)×109/L高于非危重组(343.3±61.2)×109/L,差异有统计学意义(P＜0.05),显著高于极危重组(102.1±29.5)×109/L,差异有统计学意义(P＜0.01)；极危重组低于危重组和非危重组,差异有统计学意义(P＜0.01)；危重组血小板增高(＞300×109/L)占82.6%(57/69),极危重组血小板降低(<100×109/L)占66.7%(14/21)。
结论: 肺炎患儿危重组血小板数明显升高,极危重组血小板数明显降低,密切监测血小板的变化对判断病情和估计预后有一定帮助。

关键词: 肺炎, 危重症, 血小板, 婴儿

Abstract:
Objective：To investigate the relationship between the platelet count and the severity of pneumonia in infants.
Methods：From Nov. 2011 to Feb. 2013,166 cases of infants with pneumonia were divided into three groups（non critical group，critical group and extremely critical group）according to the score of critical illness in children in 24 h after admission. Peripheral blood platelets were collected in 24 h after admission. The number of peripheral blood platelets in three groups was compared.ResultsThe peripheral blood platelets［（427.1±73.6）×109/L］ was higher in critical group than in noncritical group［（343.3±61.2）×109/L］（P＜0.05），and was significantly higher than extremely critical group［（102.1±29.5）×109/L］（P＜0.01）;both differences had statistical significance.
Conclusion：The number of peripheral blood platelets in the critical group is significantly increased, and the number of peripheral blood platelets in the extremely critical group was significantly decreased. Close monitoring of the changes of peripheral blood platelet is helpful in judging the severity of illness and the prognosis of disease.

Key words: Pneumonia, Criticle illness, Platelet, Infant