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急性心肌梗死(AMI)是威胁人类健康的主要疾病之一,影响AMI患者的预后有诸多方面.本文就我们近十年来收治的AMI患者外周血白细胞变化与AMI的预后关系作一回顾性分析.1 临床资料1.1 资料来源1985年1月～1994年12月根据WHO推荐的诊断标准确诊为冠心病AMI的住院患者256例,发病距入院时间3.5小时～4天,平均1.9大,且排除了感染及血液病的病例.男169例,女87例,年龄 42～73岁.皆为首发 AMI.1.2 方法 全部病例入院后均立即查外周血白细胞及其分类.以后每周复查2次,连续4周,取其最高1次,观察其与 AMI近期预后的关系.l.3 结果 凡外周血白细胞计数>10×10~9/L或中性粒细胞>80%者,则自发病后1个月内其病死率和严重并发症的发生率均显著高于白细胞总数及分类中性粒细胞正常者,经x~2检验二者有显著性差异,见附表.
Acute myocardial infarction (AMI) is one of the major diseases that threaten human health, there are many aspects affecting the prognosis of patients with AMI.This paper retrospectively analyzed the relationship between the changes of peripheral leukocytes and the prognosis of AMI in AMI patients we treated in the past decade. 1 Clinical data 1.1 Source January 1985 ~ December 1994 According to WHO diagnostic criteria recommended for the diagnosis of coronary heart disease AMI inpatients 256 cases, the incidence of hospitalization from 3.5 hours to 4 days, an average of 1.9 and excluding the infection And blood disease cases.Male 169 cases, 87 females, aged 42 to 73. All were the first AMI.1.2 Methods All cases were immediately admitted to the hospital after the white blood cells and their classification.After the review twice a week for 4 consecutive Weeks, whichever is the highest, to observe its relationship with the recent prognosis of AMI.l.3 Results Where the peripheral white blood cell count> 10 × 10 ~ 9 / L or neutrophils> 80%, since the onset of a Month mortality and serious complications were significantly higher than the total number of leukocytes and normal neutrophils who tested by the x ~ 2 significant difference between the two, see Schedule.