摘要
目的研究慢性肺源性心脏病（CCP）急性加重期和缓解期与红细胞体积分布宽度（RDw）变化的关系。方法42例住院CCP患者急性加重期和缓解期应用血细胞分析仪测定RDW，应用油镜及扫描电子显微镜观察红细胞形态，并将两期结果进行比较。结果CCP患者急性加重期RDW增宽（0．1512±0．0168），缓解期RDW变窄（0．1268±0．0133），两期比较差异有统计学意义（P〈0．01），同时两期棘形红细胞比例分别为（36．7±9．3）％和（6．7±1．5）％，两期比较差异有统计学意义（P〈0．01）。结论CCP好转与RDW、棘形红细胞比例呈正相关，显示RDW对预后有一定判断意义。
Objective To study the association between the future of the chronic cor pulmonale （CCP） and the variation of the red blood cell volume distribution width （RDW）. Methods Forty-two patients＇ RDW with CCP in acute stage and catabatic stage was studied, and the red blood cell （RBC） form was scanned by electron microscope. The RDW and acanthocyte count was contrasted in the two stages. Results The RDW of CCP patients in acute stage was 0.1512 ± 0.0168,which in catabatic stage was 0.1268 ± 0.0133 ,P〈 0.01. The percent of acanthocyte was （36.7 ± 9.3）% in acute stage,and （6.7 ± 1.5）% in catabatic stage, P 〈 0.01. Conclusions The improvement of CCP shows positive correlation with RDW and the percent of acanthocyte. It shows that RDW can judge the future of CCP.
出处
《中国医师进修杂志（内科版）》
2008年第1期19-20,共2页
Chinese Journal of Postgraduates of Medicine
关键词
肺心病
红细胞体积分布宽度
棘形红细胞
Pulmonale heart disease
Red blood cell volume distribution width
Acanthocyte
