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目的观察活动性肺结核患者血液流变学的变化。方法应用Liang-100微机显示自动记录血液血浆粘度计、细胞电泳计时器、变温控温仪 ,测定25℃时的全血比粘度、血浆粘度、全血还原粘度、血沉、红细胞比容、红细胞电泳时间。同时用物理法测定血浆纤维蛋白原含量。结果和32例健康者相应的血液流变学参数比较 ,36例肺结核患者的全血比粘度(低切速)、血浆比粘度、全血还原粘度(低切速)均明显增高(P<0.01) ,血沉加快(P<0.01),红细胞电泳时间减慢(P<0.05) ;同时活动性肺结核进展期患者的血浆粘度显著高于好转期患者(P<0.01)。结论活动性肺结核患者存在高粘滞综合征 ,且在进展期改变更明显
Objective To observe the changes of hemorheology in patients with active pulmonary tuberculosis. Methods The blood plasma viscosity meter, cell electrophoresis timer and temperature-controlled temperature-control instrument were automatically recorded by Liang-100. The whole blood viscosity, plasma viscosity, whole blood viscosity, erythrocyte sedimentation rate, hematocrit, erythrocyte electrophoresis time. At the same time using the physical method of determination of plasma fibrinogen content. Results Compared with the corresponding hemorrheological parameters in 32 healthy subjects, the whole blood viscosity (low shear rate), plasma specific viscosity and whole blood reducing viscosity (low shear rate) of 36 patients with pulmonary tuberculosis were significantly increased (P <0.01 ), ESR (P <0.01) and erythrocyte electrophoresis time (P <0.05). At the same time, plasma viscosity of active pulmonary tuberculosis patients was significantly higher than that of patients with advanced pulmonary tuberculosis (P <0.01). Conclusion There is high-viscosity syndrome in patients with active pulmonary tuberculosis, and the changes are more obvious in the advanced stage