烧伤贫血患儿红细胞参数动态变化分析

Dynamic analysis of red blood cell parameters in 118 burned babies

目的分析我院烧伤贫血患儿红细胞7个参数的动态变化,为临床治疗提供参考及指导。方法收集不同程度烧伤贫血患儿在不同时期测得的红细胞各项参数,对其进行数据统计并分析。结果烧伤贫血患儿入院当天红细胞(RBC)、血细胞比容(HCT)、血红蛋白(HGB)均明显高于对照组(P<0.05)。轻度烧伤组和中度烧伤组第5天出现贫血;重度和特重烧伤组在伤后第2天就开始出现贫血,并且其平均红细胞体积(MCV)较伤后当天明显降低(P<0.05),红细胞体积分布宽度(RDW)较对照组明显增高(P<0.05)。结论了解不同时期烧伤贫血患儿红细胞的各项参数变化,对尽早纠正贫血和提高治愈率具有极为重要的意义,重度和特重度烧伤患儿出现贫血一般属小细胞不均一性贫血。

Objective To analyze seven erythrocyte parameters in 118 burned anemic babies in this hospital dynamically , to offer the evidence and to guide doctor in medical therapy. Methods Data of seven erythrocyte parameters in burned anemic babies grouped by clinical manifestations were gathered at different time, and were analyzed. Results On the first day, data of RBC （red blood cells count）, HCT （hematocrit）, HGB （hemoglobin） in patient group were distinctly higher than those in control group （P 〈 0.05）. Burned babies became anemic on day 5 in mild and moderate burned group, and so did those on day 2 in severe and specially severe burned group. Data of MCV （mean corpuscular volume） in severe and specially severe burned group on day 2 decreased more distinctly than those on the first day （P 〈 0.05 ）. Data of RDW （ red cell volume distribution width） were significantly higher than those in control group（P 〈 0.05 ）. Conclusions Data of erythrocyte parameters in burned anemic babies at different time play an important role in curing anemia and increasing cure rate in the burned. Anemia in severe and specially severe burned group is micrecytic heterogeneous anemia generally.