青少年胆囊结石患者游离血红蛋白分析  

Analysis of the free hemoglobin level in the adolescent patients with cholecystolithiasis

作　　者：熊刚[1,2] 张悦[1,2] 李晓军[1,2] 陈阳[1,2] 刘树旺[1,2] 余小舫[1,2] 

机构地区：[1]暨南大学第二临床医学院 [2]深圳市人民医院肝胆外科,深圳518020

出　　处：《岭南现代临床外科》2012年第6期428-429,共2页Lingnan Modern Clinics in Surgery

基　　金：深圳市科技局计划项目(201202110)

摘　　要：目的探讨青少年血浆游离血红蛋白水平与胆囊结石的关系。方法对我院2009年6月至2011年6月门诊及院内会诊病例及同期体检者共88例,检测45例青年人胆囊结石患者及43例对照组血浆游离血红蛋白水平,并对两组溶血性贫血筛查阳性率进行比较,同时均行血常规检查。结果所入选病例均无贫血患者,两组血红蛋白浓度无统计学差异(P>0.05)。结石组游离血红蛋白阳性率达44.44%(20/45);对照组阳性率18.60%(8/43)。结石组与对照组溶贫筛查结果阳性率差异有显著性(P<0.01)。结论青少年胆囊结石病患者中溶贫筛查阳性率明显高于无结石组,慢性溶血性疾病可能导致胆囊结石的发生有关。Objective To investigate the relationship between the free hemoglobin and cholecystolithiasis in adolescents.Method From June 2009 to June 2001,seurm free hemoglobin levels were detected in 88 cases.Among them,45 cases with cholecystolithiases were as expermenttal group and 43 cases volunteers were as control group.The positive rate of hemolytic anemia(serum free hemoglobin more than 40 mg /L) was compared between two groups.At the same time,the blood routine was examined.Result The hemoglobin in both group level had no significant difference(P> 0.05).The free hemoglobin positive rate of experimental group was 44.4%(20 /45),however control group was 18.60%(8 /43),and a significant difference in two groups(P <0.01).Conclusion Adolescent patients with cholecystolithiasis have a high incidence rate of serum hemoglobin level.Therefore,chronic hemolytic diseases may result in occurrence of cholecystolithiasis.

关 键 词：青少年 胆囊结石 溶血性贫血 

分 类 号：R657.4[医药卫生—外科学]