白细胞计数与急性心肌梗死近期预后的关系  

Interrelation between white blood cell count and short term prognosis in patients with acute myocardial infarction

作　　者：段玉柱[1] 

机构地区：[1]安徽省淮南市第一人民医院心内科,安徽淮南232007

出　　处：《河北医学》2003年第7期601-603,共3页Hebei Medicine

摘　　要：目的 :探讨血白细胞 (WBC)计数与急性心肌梗死 (AMI)近期预后的关系。方法 :根据WBC计数水平将 90例AMI患者分为A组 (WBC计数≥ 10× 10 9/L)和B组 (WBC计数 <10× 10 9/L) ,对照观察两组年龄、性别、既往病史、并发症及死亡率变化。结果 :A组并发症如严重心力衰竭 (KillipⅢ～Ⅳ )、各种心律失常发生率及住院期间病死率显著高于B组 (P分别为 <0 .0 1、<0 .0 5和 <0 .0 0 5 )。结论 :WBC计数能够评估AMI的近期预后 ,可作为AMI危险分层的简便而可靠的指标之一。Objective: To evaluate the short term prognostic value of white blood cell (WBC) count in acute myocardial infarction(AMI).Methods: According to the level of WBC count,ninety patients with AMI were divided into two groups: group A(WBC count ≥10×10 9/L) and group B(WBC count<10×10 9/L),age, sex, medical history, in-hospital complication and mortality were compared in the two groups. Results: The incidence of new severe congestive heart failure(Killip Ⅲ～Ⅳ), arrhythmias and death were significantly higher in group A than that in group B (P<0.01,<0.05 and <0.05 respectively ). Conclusion: The results suggest that WBC count can evaluate the short term outcome of patients with AMI, and could be used as a simple and reliable marker for risk stratification.

关 键 词：白细胞计数 心肌梗死 死亡率 近期预后 

分 类 号：R542.22[医药卫生—心血管疾病]