急性脑出血患者白细胞增高的临床意义
The clinical significance of white blood cell increasing of patients with acute cerebral hemorrhage
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摘要: 目的:探讨急性脑出血患者白细胞(WBC)与中性粒细胞(N)的改变与病情及预后的关系。方法:检测89例急性脑出血患者发病初期血WBC和N。按WBC总数将患者分为正常组(10109/L)、增高组(10~14)109/L、显著增高组(14109/L)。按N数将患者分为正常组(N0.75)、增高组(0.76N0.90)、显著增高组(N0.90)。结果:与正常组比较,WBC增高组、显著增高组中、重型患者增多(P0.01),病死率差异有统计学意义(P0.01);N增高组和显著增高组中、重型患者均较正常组增加(P0.05),正常组存活率高于显著增高组(P0.05)。结论:急性脑出血患者早期血液中WBC及N增高,提示病情严重、疗效差、病死率高,可作为预后判断的临床指标。Abstract: Objective: To investigate the relationship of prognosis and the numbers of white blood cell(WBC) and neutrophil(N) in early stage of cerebral hemorrhage.Methods: The total numbers of white blood cell and N in early stage of cerebral hemorrhage were observed,which were divided into divided into normal group(10 109 /L) ,high group[(10- 14) 109 /L] and significantly higher group( 14 109 /L) according to the total counts of WBC, and the same three groups were divided accoridng to the N0.75,0 .76 N 0.90 and N 0.90.Results: Compared with the normal group,heavy patients of high and significantly higher groups of WBC classification increased,which fatality rates was statistical significant(P0.01) .The heavy patients of high and significantly higher groups of N classification were higher than that of the normal group (P0.05) ,and the survival rates of the normal group were significantly higher than that of significantly higher group(P0.05) .Conclusions: The increased numbers of WBC and N of patients with acute cerebral hemorrhage in the early stage suggest a serious condition,poor efficacy and high mortality,which can be used as a prognostic clinical index.