Comparison on hematoblastic relevant parameter from patients with liver cirrhosis after heptitis B and patients with alcoholic cirrhosis
-
摘要: 探讨酒精性肝硬化及乙型肝炎肝硬化患者血小板计数(PLT)、血小板平均体积(MPV)变化的不同及其意义,采用库尔特血细胞全自动分析仪STKS型及其配套试剂,检测40例正常人与58例乙型肝炎肝硬化、44例酒精性肝硬化患者的外周血PLT、MPV,并比较出血组与无出血组的PLT、MPV的变化,发现乙型肝炎肝硬化患者MPV低于正常组,而酒精性肝硬化患者MPV高于正常组,出血组PLT、MPV比无出血组明显减少(P<0.01和P<0.05)。血小板参数PLT、MPV可作为肝硬化患者衡量出血倾向的指标之一,而乙型肝炎肝硬化与酒精性肝硬化患者MPV变化不一致,能反映血小板减少原因,对肝硬化血细胞减少患者是否选择脾切除术有一定意义。Abstract: To discuss the difference and significance of platelet count, blood platelet count (PLT) and mean platelet volume (MPV) from patients with liver cirrhosis after hepatitis B and patients with alcoholic cirrhosis.PLT and MPV of peripheral blood from 40 normal controls, 58 patients with liver cirrhosis after hepatitis B and 44 patients with alcoholic cirrhosis were analyzed with the coulter automatic blood corpuscle analysator (STKS) .And PLT and MPV from patients with haemorrhage and without haemorrhage were compared.The level of MPV from patients with liver cirrhosis after hepatitis B was lower than that from the normal group (P<0.01 and P<0.05) .The levels of PLT and MPV from the patients with haemorrhage were distinctively lower than that from patients without haemorrhage (P<0.01 and P<0.05) .It showed that PLT and MPV might be one of the important indexes on estimating bleeding tendency of patients with liver cirrhosis.The change of the MPV from patients with the cirrhosis after hepatitis B and patients with alcoholic cirrhosis was different, which reflected the reason of hematoblastic reducing.And it might be important to the patients with liver cirrhosis and hematoblastic reducing on determine whether to choose splenectomize.
-
[1]中华医学会.病毒性肝炎防治方案[J].中华内科杂志, 2001, 40 (1) ∶62-68. [2]中华医学会.酒精性肝病诊断标准[J].中华肝脏病杂志, 2003, 11 (2) ∶72. [3]龙仁平, 韦向京.脾切除治疗血小板减少症23例临床分析[J].邯郸医学高等专科学校学报, 2005, 18 (06) ∶620-621. [4]朴云峰, 林英, 高普军, 等.肝硬化脾功能亢进患者骨髓病理的某些特点[J].临床肝胆病杂志, 1996, 12 (1) ∶31. [5]Pau lusⅠ.P lateletsizeinmanb lood[J].C lin ical Test, 1975, 46∶321. [6] 丛玉隆.血液分析仪研究进展及临床应用[J].中华医学检验杂志, 1993, 16 (1) ∶50. [7]朱秀峰, 尚佳.肝硬化患者血小板平均体积检测的临床意义[J].现代医药卫生, 2003, 19 (8) ∶969-970.
本文二维码
计量
- 文章访问数: 2327
- HTML全文浏览量: 20
- PDF下载量: 753
- 被引次数: 0