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重型乙型肝炎血小板参数变化与预后关系的探讨 被引量:15

An exploratory study of the relationship between variations of blood platelet parameters and prognosis in patients with acute severe HBV hepatitis.
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摘要 目的探讨重型乙型肝炎患者血小板参数变化与病情的关系。方法应用电子阻抗法检测70例重型乙型肝炎患者和129例健康者血浆PLT及MPV。结果患者组PLT减少率为757%,与健康对照组比较差别有极显著性意义(P<0.01)。患者PLT减少,则MPV变大(P<001);患者PLT正常,则其MPV与健康对照组的差别无显著性意义(P>005)。病情好转组PLT比死亡组PLT高(P<005)。结论患者PLT的变化与疾病预后有一定关系,PLT增加,预后良好。且患者PLT减少与乙肝病毒感染体内免疫作用有一定关系。 Objective\ To study the relationship between the changes of platelet parameters and clinical manifestation.Methods An electronic impedance method was used for the detection of plasma PLT and MPV in 70 cases of patients with severe HBV hepatitis and 129 cases of healthy control subjects.Results\ The percentage of PLT decrease was 75.7% in patient group.The difference of PLT decrease in patient group was very significant in contrast with that of the healthy control group ( P <0.01).MPV increased significantly ( P <0 01) in PLT decreased patients,but no difference was found between MPV in normal PLT patient and that of healting control group ( P >0.05).PLT in improved patient group was higher than that in death group ( P <0.05).Conclusion It is suggested that a relationship between the variations of blood platelet parameters and the prognosis of patient with HBV hepatitis exists.The prognosis became better in PLT increased patients.And there is also a relationship between PLT decrease and body immunization of patient infected by HBV.
出处 《中国实用内科杂志》 CAS CSCD 北大核心 1999年第2期87-88,共2页 Chinese Journal of Practical Internal Medicine
关键词 乙型肝炎 血小板计数 平均血小板体积 Severe HBV hepatitis\ Blood platelet count\ Mean blood platelet volume
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  • 1王英杰,中国实用内科杂志,1995年,15卷,163页
  • 2张启良,中华血液学杂志,1990年,11卷,172页
  • 3李振甲,解放军医学杂志,1985年,10卷,35页
  • 4张复英,中华心血管病杂志,1980年,8卷,142页

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