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目的：观察血清 Ｃ－ 反应蛋白（ Ｃ Ｒ Ｐ） 在肺炎患者中的变化，是否可将 Ｃ Ｒ Ｐ 作为肺炎的早期诊断与抗生素即时疗效的观察指标之一做一探讨；是否有助于与支气管炎的鉴别。方法：对肺炎或支气管炎者，用散射比浊法检测血清 Ｃ－ 反应蛋白，其中对部分肺炎患者抗生素治疗３ ～７ 天后复查。结果：肺炎组 Ｃ Ｒ Ｐ 及中性粒细胞明显高于支气管炎组，而两组白细胞数及体温变化无显著差异。结论：血清 Ｃ－ 反应蛋白是肺炎的一个重要辅助检查指标；动态观察血清 Ｃ－ 反应蛋白的消长可以作为肺炎治疗是否有效的观察指标之一，它有助于与支气管炎的鉴别。
OBJECTIVE: To observe the changes of serum C-reactive protein (C R P) in patients with pneumonia and whether C R P can be used as one of the early indicators of pneumonia diagnosis and antibiotic immediate effect; Differentiation of inflammation. Methods: Serum C-reactive protein was detected by nephelometry in patients with pneumonia or bronchitis. Antibiotic treatment in some pneumonia patients was reviewed after 3 to 7 days. Results: C R P and neutrophils in the pneumonia group were significantly higher than those in the bronchitis group, while there was no significant difference between the two groups in the number of white blood cells and body temperature. Conclusions: Serum C-reactive protein is an important auxiliary test for pneumonia. Dynamic observation of the decline of serum C-reactive protein can be used as one of the effective indicators for the treatment of pneumonia. It is helpful for the identification of bronchitis.