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目的:分析并探讨高原红细胞增多症的临床及化验检查特点。方法:对本院2007年1月—2008年12月间明确诊断为高原红细胞增多症87例患者的临床相关检查资料进行统计分析。结果:87例中:①超重38例(43.7%),肥胖16例(18.4%),超重及肥胖比例增高;②合并高血压占32例(36.8%),正常高值29例(33.3%);③高脂血症33例(37.9%),其中高胆固醇血症15例(17.2%),高甘油三酯合并高胆固醇血症者12例(13.8%),血甘油三酯为(2.00±1.36)mmol/L,均值高于正常范围;④谷丙转氨酶升高47例(54.0%),均值为(54.02±39.35)U/L,均值高于正常范围;⑤B超检查合并脂肪肝29例(33.3%);⑥心电图异常者29例,占33.3%。结论:肥胖、高脂血症、高血压可能是高原红细胞增多症发生的个体危险因素;心、肝、肾组织损害在高原红细胞增多症中是常见的组织器官损害表现。
Objective: To analyze and discuss the clinical and laboratory features of high altitude polycythemia. Methods: The clinical data of 87 patients diagnosed as high altitude polycythemia from January 2007 to December 2008 in our hospital were statistically analyzed. Results: Among the 87 cases, 38 cases were overweight (43.7%), obesity was 16 cases (18.4%), and the proportion of overweight and obesity was increased. The combined hypertension was 32 cases (36.8%), normal high value was 29 cases ; Hyperlipidemia in 33 cases (37.9%), including hypercholesterolemia in 15 cases (17.2%), hypertriglyceridemia with hypercholesterolemia in 12 cases (13.8%), blood triglyceride was (2.00 ± 1.36) mmol / L, the average value was higher than the normal range; ④The alanine aminotransferase increased in 47 cases (54.0%), the average was (54.02 ± 39.35) U / L, mean was higher than the normal range; (33.3%); ⑥ 29 cases of abnormal electrocardiogram, accounting for 33.3%. Conclusion: Obesity, hyperlipidemia and hypertension may be the risk factors of high altitude polycythemia. The damage of heart, liver and kidney tissues is a common manifestation of tissue and organ damage in high altitude.