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常规凝血检查和血小板计数预测肝硬化出血的临床价值

Clinical value of routine coagulation examination and platelet count in predicting hepatic cirrhosis hemorrhage
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摘要 目的探究常规凝血检查和血小板计数预测肝硬化出血的临床价值。方法选择我院2017年1月至2017年12月收治的80例肝硬化患者作为研究组,并选择同期我院80例健康体检人员作为对照组,两组受试人员均行血液生化检验,对比研究组与对照组及研究组中出血和未出血患者的PT、TT、APTT、PLT、MPV等凝血和血小板计数指标。结果研究组患者的PT、TT、APTT均长于对照组,研究组患者的PLT、MPV低于对照组,差异具有统计学意义(P<0.05)。研究组出血患者的PT、TT、APTT均长于未出血患者,研究组出血患者的PLT、MPV低于未出血患者,差异具有统计学意义(P<0.05)。结论常规凝血检查和血小板计数可作为预测肝硬化发生和出血的重要临床指标。 Objective To explore the clinical value of routine coagulation examination and platelet count in predictinghepatic cirrhosis hemorrhage. Methods Eighty patients with hepatic cirrhosis admitted in our hospital from January 2017 toDecember 2017 were selected as study group, and 80 healthy people in our hospital were selected as control group. Bothgroups underwent blood biochemical examination. Coagulation indicators and platelet count indicators of PT, TT, APTT,PLT and MPV in the study group, the control group and patients with hemorrhage and without hemorrhage of the studygroup were compared. Results The PT, TT and APTT of the study group were longer than those of the control group, thelevels of PLT and MPV of the study group were lower than those of the control group, the differences were statisticallysignificant (P〈0.05). The PT, TT and APTT in patients with hemorrhage of the study group were longer than those inpatients without hemorrhage, the levels of PLT and MPV in patients with hemorrhage of the study group were lower thanthose in patients without hemorrhage, the differences were statistically significant (P〈0.05). Conclusion Conventionalcoagulation examination and platelet counts can be used as important clinical indicators for predicting hepatic cirrhosis andhemorrhage.
作者 胡晓红 HU Xiao-hong(the Second Hospital of Weinan, Weinan 714000, China)
机构地区 渭南市第二医院
出处 《临床医学研究与实践》 2018年第28期100-101,共2页 Clinical Research and Practice
关键词 常规凝血检查 血小板计数 肝硬化出血 conventional coagulation examination platelet count hepatic cirrhosis hemorrhage
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