摘要
对59例急性上消化道出血病人血液流变学、甲襞微循环各项指标及各项指标加权积分值与得分率进行检测,并与30例健康人作比较.结果:(1)出血组血浆比粘度增高,红细胞电泳时间延长,P<0.01.全血比粘度及红细胞压积也增高,P<0.05;(2)出血组甲襞微循环突出表现为管襻形态异常,流速减慢及红细胞聚集,并伴有渗出与出血(P<0.01)等微循环异常改变.提示急性上消化道出血微循环和血液流变学的改变,与中医“瘀血”的病机相吻合.
59 Patients with acute upper gastrointestinal hemorrhage and 30 healthy subjects as control were measured by tests of Mood rhe-ology and nail-fold microcirculation. The results were: (1) plasma relative viscosity was higher and erythrocyte electrophoresis time was longer in hemorrhage group than those in control group (p< 0. 01). Blood relative viscosity and hematocrit in hemorrhage group were also higher than those in control group (p<0. 05). (2)The microcirculation of nail-fold in hemorrhage group showed abnormal shape of the vessel loop,slow Mood flow and erythrocyte aggreation, accompanied by oozing and hemorrhage around the vessel loop (p<0. 01). They suggest that the abnormal changes of microcirculation and blood rheology in patients with acute upper gastrointestinal hemorrhage are coincident with the pathologic essence of blood stasis of TCM.
出处
《中国中医急症》
1994年第6期254-256,共3页
Journal of Emergency in Traditional Chinese Medicine
关键词
急性
上消化道出血
瘀血
血液流变学
微循环
Acute upper gastrointestinal hemorrhage Blood stasis Blood theology Microcirculation