外科重症病人血液流变性变化  

HEMORHEOLOGICAL CHANGES IN CRITICAL SURGICAL PATIENTS

作　　者：曾侃[1] 梁玲[1] 

机构地区：[1]广东省人民医院,广州510080

出　　处：《中国血液流变学杂志》2000年第2期108-110,共3页Chinese Journal of Hemorheology

基　　金：广东省中医药局研究课题基金

摘　　要：目的；探讨外科重症病人血流变指标的变化规律，为外科重症治疗提供参考。方法：对入住加强医疗病房的重症病人 ６０例与 １００例正常对照组比较血液流变学指标。结果：外科重症病人的全血高、中、低切粘度，粘弹性，红细胞聚集指数，刚性指数均有显著性差异（Ｐ＜０．０５～０．０１），红细胞压积，血浆粘度无显著差异（Ｐ＞０．０５）。提示：重症外科病人术后早期存在血液粘度增高，在临床上应注意补充血容量，维持水电解质平衡，降低血粘度，疏通微循环，改善血液流变性。Aim: To study the changes and regularities of hemorheological parameters in critical surgical patients to provide reference for clinical severity surgery. Method: Hemorheological indexes of 100 control cases were compared with that of 60 critical cases admitted to SICU. Result: Whole blood viscosity under high, media and low shear rate, viscolasticity, RBC aggregation index and TK value were much higher than normal (p < 0.05 - 0.01 ), while there was no statistical variance in hematocrit and plasma viscosity. Conclusion: High bind viscosity exists in the early stage in critical postoperative patients which strongly recommends clinically bind capacity enlargement, hydroelectrolytic balance,blood viscosity decrease, improvement of microcirculation and hemorheological properties.

关 键 词：血液流变学 外科重症 血液粘度 

分 类 号：R605.97[医药卫生—急诊医学] R331.1[医药卫生—外科学]