创伤骨折病人血液流变学变化的临床观察

Hemorheological changes in patients with traumatic fracture:A clinical observation

观察了不同类型新鲜创伤骨折病人不同时期血液流变学的变化，发现骨折病人血液流变学的特点为：红细胞压积降低，纤维蛋白原升高，血浆粘度升高，血沉加快，全血粘度在早期（创伤后３天）降低，以后逐渐升高直到出现高粘态。这些血流变的变化，因创伤的程度和部位不同可有较大差别。这种变化一般来说可持续４０天左右。

We observed varied-stage hemorheological changes in patients suffering from different types of fresh traumatic fracture. It was discovered that hemorheological changes of such patients were characterized by reduced hematocrid ,increased fibrinogen,raised plasma viscosity and accelerated erytbrocyte sentimentation. During the first three days after injury .the whole blood viscosity were dropped, and then raised gradually until the hypercoagulability appeared. These changes, lasting for about 40 days, varied with the different severity and site of injury.