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《Medical Recapitulate》 2017-02
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Analysis of Rheumatic Three Indicators,Myocardial Enzyme Parameter and White Blood Cell Parameters in Scarlet Fever Patients

TIAN Nannan;YE Yingbin;HUANG Xiuxiang;ZHANG Jian;Department of Pediatric Infection,Handan Infectious Diseases Hospital;  
Objective To analyze the clinical significance of rheumatism three indicators,myocardial enzymes and white blood cell parameters in patients with scarlet fever. Methods A total of 113 cases of pediatric scarlet fever with in Handan Infectious Disease Hospital from Jun. 2013 to Jun. 2015 were included as a scarlet fever group,20 cases of normal physical examination during the same period were included as a control group. The levels of AST,LDH,CK,CK-MB,α-HBDH,ASO,RF,CRP,WBC,N and L were detected and statistically analyzed. Results The RF and CRP serum levels of the scarlet fever group were significantly higher than those of the normal control group( P 0. 01) [( 26. 6 ± 7. 1) k U / L vs( 15. 2 ± 4. 6) k U/L,( 18. 2 ±4. 5) mg/L vs( 3. 0 ±1. 1) mg/L]; LDH and CK-MB,α-HBDH of the scarlet fever group were higher than the control group [( 219. 5 ± 36. 3) U / L vs( 177. 5 ± 24. 7) U / L,( 25. 3 ± 11. 7) U / L vs( 19. 4 ± 3. 3) U / L,( 176. 6 ± 26. 2) U/L vs( 144. 9 ± 35. 7) U/L]( P 0. 01). The level of WBC,N and of the scarlet fever group were significantly higher than those of the control group [( 12. 2 ± 4. 4) × 10~9/ L vs( 6. 8 ± 1. 4) × 10~9/ L,( 0. 63 ± 0. 14) vs( 0. 50 ± 0. 07),( 0. 24 ± 0. 06) vs( 0. 38 ± 0. 05) ]( P 0. 01). In rheumatism three type and parameters of myocardial enzyme of septic than poisoning type,light type and ordinary type; Poisoning type was higher than the light type; Light type was higher than normal type( P 0. 05). AS for WBC parameters,the N of sepsis and toxic type were higher than the ordinary and light type( P 0. 05); L was lower than the ordinary and light type( P 0. 05). Conclusion The rheumatic three indicators,myocardial enzymes,WBC and N of patients with scarlet fever increased with the disease condition,the higher the concentration,the severer the patient and the poorer the prognosis.
【CateGory Index】: R725.1
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