中华实验和临床病毒学杂志
中華實驗和臨床病毒學雜誌
중화실험화림상병독학잡지
CHINESE JOURNAL OF EXPERIMENTAL AND CLINICAL VIROLOGY
2014年
6期
472-475
,共4页
鲍舟君%陈冬冬%徐岳军%姚燕珍%张晓帮%李世波
鮑舟君%陳鼕鼕%徐嶽軍%姚燕珍%張曉幫%李世波
포주군%진동동%서악군%요연진%장효방%리세파
血小板减少%布尼亚病毒%血细胞计数
血小闆減少%佈尼亞病毒%血細胞計數
혈소판감소%포니아병독%혈세포계수
Thrombocytopenia%Bunyavirus%Blood cell count
目的 探讨舟山海岛地区严重发热伴血小板减少综合征(severe fever with thrombocytopenia syndrome,SFTS)患者临床血常规及凝血功能特征.方法 采用血细胞分析仪及全自动凝血仪分别检测2011年5月至2013年10月舟山医院收治的27例SFTS患者治疗前及治疗10 d后血常规、凝血功能.x2检验、t检验或相关性分析血常规、凝血功能检测值的变化.结果 SFTS患者治疗前白细胞、中性粒细胞、淋巴细胞、血小板均明显低于正常体检者,差异有统计学意义(P<0.05);SFTS治疗痊愈者血小板明显高于死亡者,差异有统计学意义(P<0.05).SFTS患者治疗前PT、APTT、TT均较正常体检者长,FIB较正常体检者低,差异有统计学意义(P<0.05).Pearson相关性分析结果显示治疗前SFTS患者APTT与血小板数量有明显负相关性(P<0.05),治疗10 d后SFTS患者PT、APTT、TT与血小板数量亦有明显负相关性(P<0.05).结论 密切关注血常规及凝血功能状态对诊断及监测SFTS患者疾病进展情况具有非常显著的临床意义,并且特别需关注血小板及APTT的动态变化.
目的 探討舟山海島地區嚴重髮熱伴血小闆減少綜閤徵(severe fever with thrombocytopenia syndrome,SFTS)患者臨床血常規及凝血功能特徵.方法 採用血細胞分析儀及全自動凝血儀分彆檢測2011年5月至2013年10月舟山醫院收治的27例SFTS患者治療前及治療10 d後血常規、凝血功能.x2檢驗、t檢驗或相關性分析血常規、凝血功能檢測值的變化.結果 SFTS患者治療前白細胞、中性粒細胞、淋巴細胞、血小闆均明顯低于正常體檢者,差異有統計學意義(P<0.05);SFTS治療痊愈者血小闆明顯高于死亡者,差異有統計學意義(P<0.05).SFTS患者治療前PT、APTT、TT均較正常體檢者長,FIB較正常體檢者低,差異有統計學意義(P<0.05).Pearson相關性分析結果顯示治療前SFTS患者APTT與血小闆數量有明顯負相關性(P<0.05),治療10 d後SFTS患者PT、APTT、TT與血小闆數量亦有明顯負相關性(P<0.05).結論 密切關註血常規及凝血功能狀態對診斷及鑑測SFTS患者疾病進展情況具有非常顯著的臨床意義,併且特彆需關註血小闆及APTT的動態變化.
목적 탐토주산해도지구엄중발열반혈소판감소종합정(severe fever with thrombocytopenia syndrome,SFTS)환자림상혈상규급응혈공능특정.방법 채용혈세포분석의급전자동응혈의분별검측2011년5월지2013년10월주산의원수치적27례SFTS환자치료전급치료10 d후혈상규、응혈공능.x2검험、t검험혹상관성분석혈상규、응혈공능검측치적변화.결과 SFTS환자치료전백세포、중성립세포、림파세포、혈소판균명현저우정상체검자,차이유통계학의의(P<0.05);SFTS치료전유자혈소판명현고우사망자,차이유통계학의의(P<0.05).SFTS환자치료전PT、APTT、TT균교정상체검자장,FIB교정상체검자저,차이유통계학의의(P<0.05).Pearson상관성분석결과현시치료전SFTS환자APTT여혈소판수량유명현부상관성(P<0.05),치료10 d후SFTS환자PT、APTT、TT여혈소판수량역유명현부상관성(P<0.05).결론 밀절관주혈상규급응혈공능상태대진단급감측SFTS환자질병진전정황구유비상현저적림상의의,병차특별수관주혈소판급APTT적동태변화.
Objective To analyze the changes of hematological parameters and coagulatory function in sever fever with thrombocytopenia syndrome (SFTS) in Zhoushan island.Methods Automated blood analyzer and automatic coagulation analyzer were used to measure hematological parameters and coagulatory function in SFTS patients before and after ten days treatment.Results The counts of white blood cells (WBC),neutrophils and lymphocytes and platelets of the 27 cases with SFTS were significantly lower than those of normal controls (P < 0.05) ; Moreover,the counts of platelets was significantly higher in the cases who recovered as compared with those who died (P < 0.05).Prothrombin time (PT),activated partial thromboplastin time (APTT) and thrombin time (TT) of SFTS patients before treatment were longer than normal controls,whereas fibrinogen (FIB) was lower (P < 0.05).Pearson correlation analysis showed that APTT and platelet (PLT) of SFTS patients before treatment had significantly negative correlation (P < 0.05),as well as PT,APTT and TT were negatively correlated with PLT of SFTS patients with 10 d treatment.Conclusion Paying close attention to the hematological parameters and coagulation function,especially PLT and APTT,has important clinical significance in diagnosis and monitoring of disease progression in patients with SFTS.