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目的 观察中风急性期病人外周血象动态变化规律,分析其临床意义。方法 105例急性期中风病人按出血与梗塞分为两组,于入院时及病程第10天测定外周血象及红细胞与血小板电泳时,并与正常医学参考值进行对比分析。结果 两组外周血象均有明显改变,尤以白细胞计数、粒细胞百分率、红细胞及血小板电泳时更为显著。结论 急性期中风病人外周血象均有显著的动态改变,提示整个血液系统均参与了中风急性期病理衍变,而不是单纯限于血液的高凝状态而已。故本组资料有助对血液系统在中风急性期发病机制中的作用认识,同时其动态变化规律,亦具指导临床诊断治疗与预后评估的价值。
Objective To observe the dynamic changes of peripheral blood in patients with acute stroke and to analyze its clinical significance. Methods A total of 105 acute stroke patients were divided into two groups according to hemorrhage and infarction. Peripheral blood and erythrocyte and platelet electrophoresis were measured at admission and on the 10th day of disease course, and compared with the normal medical reference value. Results The peripheral blood of both groups changed obviously, especially when white blood cell count, percentage of granulocyte, erythrocyte and platelet electrophoresis were more obvious. Conclusion The peripheral blood of acute stroke patients have significant dynamic changes, suggesting that the entire blood system are involved in the pathogenesis of acute stroke, rather than simply confined to the blood hypercoagulable state only. Therefore, this group of data helps to understand the role of the blood system in the pathogenesis of acute stroke, and its dynamic changes, but also guide clinical diagnosis and treatment and prognosis of the value.