26例重症SARS患者初诊实验室结果分析  

Analysis on blood routine examination and serological enzyme examination on 26 cases with severe SARS

作　　者：吴红金[1] 徐兰芳[2] 茹立强[1] 段姝伟 王凡 王升启[4] 刘娟 高月[4] 

机构地区：[1]华中科技大学同济医学院,武汉430030 [2]中华预防医学会 [3]北京市中西医结合医院 [4]军事医学科学院

出　　处：《中国公共卫生》2004年第6期641-642,共2页Chinese Journal of Public Health

基　　金：科技部"十五"863计划重大项目"非典型肺炎防治关键技术及产品研制"(2 0 0 3AA2 0 81 0 1 ) ;国家中医药管理局科研课题 (中国医药科非典专项 0 6号 )

摘　　要：目的　观察分析重症SARS患者初诊时血常规及血清酶学检查结果的特点。方法　对 2 6例重症SARS患者 (重症组 )初诊时实验室检查结果进行分析 ,并与 30例同期入院的普通型SARS患者 (普通组 )进行对比。结果　重症组外周血白细胞计数、淋巴细胞计数、淋巴细胞百分比、血红蛋白浓度及血小板计数均值皆低于普通组 ,但无显著性差异 ;血清谷丙转氨酶 (ALT)、天门冬氨酸转氨酶 (AST)、肌酸激酶 (CK)、肌酸激酶MB型同工酶 (CK -MB)、乳酸脱氢酶 (LDH)水平明显高于普通组 ,除AST外 ,均有显著性差异。Objective To observe and analyze the features of the blood routine examination and serological enzyme examination of the 26 cases with severe Severe Acute Respiratory Syndrome(SARS).Methods Compared with 39 cases with SARS,26 cases with severe SARS were retrospectively studied.Results The numbers of leucocyte,lymphocyte,hemoglobin and platelet in the cases with severe SARS are lower than the cases with SARS.The concentration of ALT,AST,CK,CK-MB,LDH in the cases with severe SARS are higher than the cases with SARS.Conclusion The blood routine examination and serological enzyme examination were very important in the early diagnosis of severe SARS.

关 键 词：严重急性呼吸系统综合征(SARS) 血常规及血清酶学 临床流行病学 

分 类 号：R563.1[医药卫生—呼吸系统]