脑卒中急性期白细胞反应及临床意义  

Reaction of Leukocytes in Acute Stage of Stroke and Implication

作　　者：姜丹 定正超 

机构地区：[1]武汉铁路中心医院神经内科,武汉430064

出　　处：《同济医科大学学报》2001年第6期593-594,共2页Acta Universitatis Medicinae Tongji

摘　　要：于脑卒中发病后次日晨抽静脉血查外周血白细胞 ,研究脑卒中急性期周围白细胞增高与卒中类型、病灶大小、临床疗效及预后的关系。结果发现 :脑出血组外周血白细胞 (WBC)增高比脑梗死组更为明显 (P<0 .0 0 1) ,外周血 WBC数目与脑卒中的基本痊愈率 ,显效率呈显著负相关 ,与病灶大小呈显著正相关 (P<0 .0 0 1)。外周血 WBC增高越明显 ,死亡率越高 ,预后越差。结果显示 :脑卒中急性期外周 WBC明显增高 ,提示病情重、疗效差 ,可作为判断预后的临床指标之一。Leukocytes in peripheral blood were examined on the next day after the onset of stroke. The relationship among the increase of peripheral leukocytes in acute stroke and stroke types, locus size, clinical therapeutic effects and prognosis was studied. The results showed that white blood cells (WBC) in peripheral blood in the cerebral hemorrbage group were significantly increased as compared with those in the cerebral infarction group ( P <0 001). The numbers of WBC in peripheral blood were correlated negatively with the cure rate, the effective rate and positively with the locus size significantly ( P <0.001). The more WBC in peripheral blood were increased obviously, the higher the mortality was and the worse the prognosis.It was demonstrated that the obvious increase of WBC in the peripheral blood in acute stroke might imply serious stroke and bad clinical effect. The peripheral WBC could be used as one of the clinical signs of prognosis.

关 键 词：周围血白细胞 预后 中风 临床分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]