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目的:探讨高海拔地区(海拔2 260m)急性脑出血患者的血液流变学规律。方法:收集我院神经内科2003年—2007年住院的脑出血患者130例及正常对照组患者70例,分为脑出血组及正常对照组,脑出血组均经头颅CT确诊,两组患者均测定其血液流变学指标变化。结果:与正常男性对照组比较脑出血男性组患者全血黏度(中切、低切、高切)、血浆黏度、血沉均高于正常对照组,具有显著性差异(P<0.01)。与正常女性对照组比较脑出血女性组患者全血黏度(中切、低切)、血浆黏度、血沉、压积均高于正常对照组,具有显著性差异(P<0.01)。结论:缺氧状态下脑出血患者血液呈浓、黏、聚、凝,可致脑局部梗死,故及时纠正高凝、高黏状态对预防脑梗死有一定价值。
Objective: To investigate the hemorheology of patients with acute cerebral hemorrhage in high altitude (2 260 m altitude). Methods: 130 cases of cerebral hemorrhage hospitalized in our hospital from 2003 to 2007 and 70 cases of normal control group were divided into intracerebral hemorrhage group and normal control group. The cerebral hemorrhage group was confirmed by skull CT. Both patients Measurement of changes in hemorheology index. Results: Compared with normal control group, the whole blood viscosity (medium, low and high shear), plasma viscosity and erythrocyte sedimentation rate in patients with cerebral hemorrhage were significantly higher than those in normal controls (P <0.01). Compared with the normal female control group, the whole blood viscosity (medium and low cut), plasma viscosity, erythrocyte sedimentation rate, and blood pressure were significantly higher in the female patients with cerebral hemorrhage than those in the normal control group (P <0.01). CONCLUSION: Hypoxia, cerebral hemorrhage in patients with blood thick, sticky, poly coagulation, can cause cerebral infarction, it promptly correct hypercoagulability, high viscous state of cerebral infarction to prevent some value.