白细胞·血红蛋白^(-1)在骨科多发伤诊断中的应用研究

The use of WBC·Hb^(-1) determination for the diagnosis of multiple trauma in orthopaedics

目的根据白细胞·血红蛋白-1(WBC·.Hb-1)比值大小分析骨折病人是否合并其他部位损伤,提高抢救成功率,降低漏诊率。方法应用日本sgsmex-kxi21多项目自动血球计数仪。检查932例新鲜骨折病人及100例健康人(作对照)血常规,根据WBC计数及Hb测定值,将其比值分析并经统计学处理。结果创伤早期由于应激反应,WBC明显升高,骨折病人WBC·Hb-1比对照组明显升高,合并有其他部位损伤时其比值升高更明显。各组平均值比较均,P<0.05。讨论创伤早期WBC·Hb-1明显升高,伤情越重比值越高,可根据比值大小来判断伤情及降低漏诊率。

Objective To evaluate the ratio of WBC and Hb in patients with fracture for the diagnosis of whether traumatic injury of other parts of the body is associated, to increase the successful ratio of rescue treatment, and decrease the ratio of missed diagnosis.Method Using the Japanese Sysmesx-kxi21 blood cell counter, the blood route was tested in 932 patients with fresh fracture and 100 healthy people.The T test was used for analysis of the data. Result The WBC counts were used at the early stage of trauma. The ratio of WBC·Hb-1 in patients with fracture was significantly higher than that in the control group. It was even more higher in patients combined with trauma else where . Using T test, the average value in each group showed significant difference (P<0.05) Conclusion During early period of the trauma, WBC·Hb-1 is significantly high. The more severe the trauma, the more obvious the ratio increased. The ratio of WBC·Hb-1 can be used for the judgment of the condition of trauma and to decrease te ratio of missed diagnosis.