肺结核患者血液流变学临床探讨

Hemorheological properties in pulmonary tuberculosis

测定６０例健康者、１００例肺结核患者的血液流变学指标，其中４９例肺结核患者同时测定动脉血气。结果发现，肺结核患者血液流变学较正常人明显障碍，表现为全血比粘度、血浆比粘度和纤维蛋白原水平明显增高，红细胞聚集性增强。痰菌阳性者，结核病灶范围广泛，破坏性病变多者血液流变学异常越显著，血气改变对血液流变学有一定影响，以缺氧、高碳酸血症、氧饱和度下降及酸中毒较为明显。目前常用的抗痨药物对肺结核血液流变学影响不大。

The rheological properties of blood were studied in 60 healthy persons and 100 patients withpulmonary tuberculosis and arterial blood gas analysis was also made in 49 of the latter.The findingsshowed that there were hemorheologic abnormalities in tuberculosis,as compared with the normal.Thewhole blood viscosity,plasma viscosity,erythrocyte aggregation and fibrinogen level in peripheral bloodwere significantly increased in tuberculosis,The more disseminated and severe the lesion is,the more obvi-ous the change in hemorheology can be found.Arterial blood gas abnormality may account for the changesin tuberculosis,but is not the only cause.