患者,男,21岁.因无明显诱因出现肛门周围部肿物,约红枣大小并且伴有明显疼痛,为胀痛,持续时间较长,未予重视,5d后疼痛加剧,并伴有发热.患者自发病以来精神、饮食、睡眠均差.12月3日入院查体:体温38.7℃,心率79次/min,血压128/75 mmHg.实验室检查:WBC 14.00×109/L,N 0.80,L0.11,红细胞5.0×1012/L,血红蛋白148g/L,C反应蛋白155.8mg/L.12月3日和12月4日分别送脓性分泌物进行培养,均检出星座链球菌,使用青霉素7d后体温恢复正常,C反应蛋白降至0.25mg/L,恢复正常.后期进行肛周脓肿切除手术,同时送检分泌物进行再次细菌培养,普通培养无细菌生长.

浅黄金色单胞菌为1987年才独立成属的人类少见病原菌[1].目前,国内外关于浅黄金色单胞菌及耐药机制的报道较少[2～4].2016年2月,我院从1例患者的血液培养中分离出1株浅黄金色单胞菌,对其耐药性进行分析.

Objective To analyze the test results of urine protein and urinary microalbumin in diabetic nephropathy. Methods 50 patients with diabetic nephropathy admitted to our hospital during March 2011 and April 2013 and other 50 healthy peoples in the same period were randomized into experimental group and control group respectively to compare their urine protein and urinary microalbumin. Results Positive rate of urine protein and urinary microalbumin were 16.0% and 54.0% in the experimental group, and compared with those in the control group, the differences were statistically significant, P<0.05. Conclusion Early detection of urine protein and urinary microalbumin is worthy of promotion in the diagnosis of diabetic nephropathy due to its important signifi-cance.

Objective To understand the changes of serum protein electrophoresis in different diseases, and the correlation factors of distribution of serum protein electrophoresis and Changes in patterns of different diseases. Methods Blood samples of 120 cases of patients with 3 kinds of representative diseases were determined by French SEBIA agarose electrophoresis (40 cases of nephrotic syndrome, 40 cases of cirrhosis, 40 cases of parturient patients), Blood samples (control group) of 40 cases of normal healthy peo-ple, the comparison and correlation of serum protein electrophoresis, serum protein, fibrinogen,β2-protein and C-reactive protein in serum were determined. Results In the experimental group, the data α1, α2, β globin percentage distribution of the 3 groups were significantly different from those of the control group (P<0.001), and fibrinogen, β2- microglobulin and high-sensitivity C-reactive protein of different diseases in the experimental group were increased or decreased compared with those of the control group. Conclusion By comparison with the control group data, α1, α2, β globulin, γ-globulin percentage varying in different de-grees of diseases, and there was correlation between the changes of β, γ-globulin ratio increase in the proportion, and fibrinogen in the globulin ofβ,γ-globulin fibrinogen,β2-microglobulin, C-reactive protein hypersensitivity.

笔者对我院2008-01-2010-12烧伤住院患者创面分泌物分离鲍曼不动杆菌情况及耐药性进行分析,为临床合理用药提供依据. 1 资料与方法 1.1菌株来源108株鲍曼不动杆菌分离于2008-01-2010-12烧伤病房住院患者创面分泌物. 1.2培养及鉴定 将送检的合格标本按照《全国临床检验操作规程》[1](第3版)的要求接种、培养,采用法国生物梅里埃公司生产的20NE鉴定条进行鉴定.

目的:IQ200全自动尿沉渣分析仪使用中结果的审核对于临床应用价值的重要性。方法:随机选取600例我院住院患者尿标本,用IQ200全自动尿沉渣分析仪对尿液中有形成分进行检测,并根据图形对其结果进行初步审核,再将有疑问的结果与人工镜检进行比较分析。结果:IQ200全自动尿沉渣分析仪检测结果经审核后对于阴性或者弱阳性结果差异无统计学意义(P>0.05),对于阳性结果经审核后差异有统计学意义(P<0.05)。结论:严格进行图像审核,避免因多种因素影响IQ200尿沉渣分析仪对尿液有形成分检测结果的误判,提高尿液分析报告的真实性和准确性。

目的比较不同型号血细胞分析仪对于白细胞,红细胞在检测标本上存在的偏差。方法分别用不同型号的血细胞分析仪测定临床抽取的血常规。并对相同标本进行检测。取均数进行两两比较。结果 3种不同型号的血细胞分析仪在测定WBC、RBC均值上经过两两比较存在差异。结论不同型号血细胞分析仪在测定值上存在一定差异,定期对不同血细胞分析仪进行比对和质量控制是保证测定结果准确性和一致性的有效措施。