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分析216例蛛网膜下腔出血(SAH)发病48h内WBC变化与病情轻重及预后之间关系。发现WBC增高占55.1％(119/216例),降低仅1例;中性粒细胞增高占83.3％(180/216例)。嗜酸粒细胞减少或消失占79.6％(172/216)。WBC增多与SAH的病情及预后密切相关(P<0.01),当WBC>16.0×10~9/L,预后明显不良,WBC越高,病情越重,预后越差;中性粒细胞增高预后也不良;嗜酸粒细胞增高或正常者病情轻,预后好,减少或消失者恶化率及病死率明显增高。作者就SAH致WBC改变的机理及相互影响进行了讨论。
The relationship between WBC changes and the severity and prognosis of 216 patients with subarachnoid hemorrhage (SAH) within 48 hours after onset was analyzed. Found WBC increased accounted for 55.1% (119/216 cases), down only 1 case; neutrophils accounted for 83.3% (180/216 cases). Eosinophilia decreased or disappeared 79.6% (172/216). The increase of WBC was closely related to the condition and prognosis of SAH (P <0.01) .WBC> 16.0 × 10 ~ 9 / L, the prognosis was obviously poor, the WBC was higher, the condition was worse and the prognosis was worse. The prognosis of neutrophil Poor; eosinophilia increased or normal mild disease, the prognosis is good, reduce or eliminate the deterioration rate and mortality was significantly higher. The authors discuss the mechanism and interaction of SAH-induced WBC changes.