唇腭裂患者血象分析及临床评估

Hemogram analysis of the patients with cleft lip/palate and its clinical evaluation

目的:通过对唇腭裂患者血象进行回顾性分析,为确定麻醉方法和手术时机的选择提供依据。方法:对2004～2007年住院治疗的505例唇腭裂患者血象进行回顾性分析,以198例正常人群作为对照。结果:各年龄段唇腭裂患者与对照组红细胞计数、血红蛋白浓度之间没有显著差异,而白细胞计数有显著差异。3岁以下者血小板计数两组之间有显著性差异,3岁以上者两组间无显著性差异。结论:唇腭裂患儿更易发生病毒感染或急、慢性炎症,表现为某些血象指标的异常,对麻醉和手术有一定影响,应该慎重选择手术适应症。

Objective： To evaluate the body condition of the patients with cleft lip/palate by hemogram analysis and conduce to determine the time of anaethesia and operation. Method： Hemogram of 505 patients enrolled were studied by retrospective analysis, 198 normal people wero as control. Result： RBC and hemoglobim concentration except WBC of the patients in each age stage had no significant difference compaired with that of the control. BPC of the patients yonger than 3 year old had significant difference between the two groups, however that of the patients elder than 3year old had the contrary results. Conclusion： The patients with cleft lip/palate were more to suffer infection and expressed abnomal counts of hemogram, it may influence the doctors how to arrange operation and anaesthsia in some extent.