疟疾病人血液检验有关指标的变化和诊断价值  

Alteration and diagnosis value of items correlated with blood tests in malaria patients

作　　者：罗以勤[1] 聂江玲[1] 孔建新[1] 濮跃晨[1] 董行[1] 吴庆[1] 

机构地区：[1]安徽医科大学附属省立医院检验科,合肥230001

出　　处：《安徽医学》2009年第4期392-393,共2页Anhui Medical Journal

摘　　要：目的探讨常规检验项目RBC、Hb、WBC、PLT计数、红细胞体积分布宽度(RDW)和血清总胆固醇(TCH)变化及其在疟疾诊断中的价值。方法研究包括40名确诊的疟疾病人和40名配对的健康对照者,用血球分析仪和生化分析仪分别检测RBC、Hb、WBC、PLT和TCH。结果RBC、Hb、PLT计数和TCH显著低于对照组,在疟疾组存在贫血和血小板减低血症。结论RBC降低、Hb降低、TCH降低特别是PLT计数降低是协助诊断疟疾的有用指标。Objective To evaluate RBC, Hb, WBC, PLT counts, red cell distribution width values （RDW） and serum total cholesterol （TCH） during acute vivax malaria. Methods This study ,which comprises 40 symptomatic vivax malaria patients compared with 40 healthy controls, investigated RBC, Hb, WBC, PLT counts, RDW and TCH during acute disease from May 2007 to October 2008 in my hospital. Resuits Mean value for RBC, Hb, PLT counts, and TCH in the vivax malaria group in our study were found to be significantly lower in comparison to the control group, Anemia and thrombocytopenia were also observed in the vivax malaria group while not the control group. Conclusion Our findings indicated that low RBC, Hb, or TCH and especially low platelet counts could presents a more supportive clue in the diagnosis of Vivax malaria.

关 键 词：RBC PLT计数 总胆固醇 疟疾 疟原虫 

分 类 号：R531.3[医药卫生—内科学] R446.1[医药卫生—临床医学]