急性心肌梗塞21例血液流变学变化

Hemorrheological changes of 21 cases AMI

血液流变学在临床医学的应用越来越广泛。我们对三年来我院急诊科及内科病历较完整、观察较细致的急性心肌梗塞患者21例和21例体检正常者的血液流变学指标进行了比较分析，结果显示：1、急性心肌梗塞患者全血低、（高）切比粘度、全血低、（高）切还原粘度，红细胞聚集指数、红细胞压积、血流K值均显著地高于对照组．2、而血浆粘度、血沉则二组无显著差异。从血液流变学检测结果表明在急性心肌梗塞的治疗中抗凝疗法的合理性；同时在早期急性心肌梗塞的治疗中抗凝疗法的合理性；同时在早期急性心肌梗塞中也发现血沉K值的变异较血沉值更为显著。

After analysing hemorrheologic index With 21cases of AMI,We found that:①In AMI patients the levels of whole blood reltive viscosity and reductive viscosity in low shearing stress, the whole blood relative viscosity and high shearing stress, and the RBC gathering index HCT、ESR K value are dramatically higher than the control groups, ② There are no significant difference in Blood viscosity and ESR. These confirm the suitability of anticoagulant treatment in AMI and find that changes of ESR K value is more dramatic than ESR in early AMI.