成人甲型H1N1流感患者血清酶学和C反应蛋白的检测及其意义

目的探讨成人甲型H1N1流感患者血清酶活性和C反应蛋白(CRP)的水平的临床意义。方法检测63例成人甲型H1N1流感患者血清酶活性和CRP水平,按是否并发肺炎将其分为肺炎组、普通组,同时采用31例健康体检者作为对照组,分析各指标与病情的关联性。结果成人甲型H1N1流感患者的血清谷丙转氨酶(ALT)、谷草转氨酶(AST)、乳酸脱氢酶(LDH)、磷酸肌酸激酶(CK)、磷酸肌酸同工酶(CK-MB)和CRP水平,并发肺炎组(18例)较普通组(45例)均明显升高,差异具有统计学意义(P<0.01);普通组血清酶活性均正常,但CRP有轻度升高。结论成人甲型H1N1流感并发肺炎患者常伴随着心、肝等多器官损害,合并细菌感染是除病毒感染外导致肺炎的另一诱因。普通型患者重要脏器损害不明显,炎症反应较轻。

The Significance of Serum Zymology and CRP Examination in Adult Patients with Type A H1N1 Flu

Objective To observe the clinical significance of the serum enzymes activity and CRP level in adult patients with type A H1N1 influenza.Methods 63 adult patients with type A H1N1 influenza were divided into pneumonia group(18 cases) and ordinary group(45 cases) according to whether concurrent pneumonia or not,meanwhile 31 cases of healthy check-up person were collected as control group.The serum enzymes activity and CRP level were detected in all patients and the correlation of index and illness were analyz...