血流变及甲襞微循环对预测感染性休克病人预后的的价值

THE VALUE OF NAIL BED MICROCIRCULATION AND ITS HEMORHEOLOGY IN PROPNOSIS OF SEPTIC SHOCK CASES

本文从微循环和血液流变角度观察了２２例早、中期感染中毒性休克病人，发现在死亡的８例中其甲襞微循环形态、流态、袢周状态及血流变中的全血比粘度、血浆比粘度、红细胞压积、体外血栓长度、湿重、干重等指标较存活病人有非常显著性变化（Ｐ＜０．０１或Ｐ＜０．０５）．作者认为，甲襞微循环和血液流变学指标可作为判断早、中期感染中毒性休克病人预后的可靠指标．

Through observing the microcirculation and hemorhedogy when treationg 22 case patients who sufferring from septic shock, we found that in the 8 cases of patients the shape, state of flow and loop surrounding have obvious changes. Also the NB, NP, PCV, EXT. L, EXT. MV, EXT. DW have obvious change(p<0.01 or p<0.05). They believed the marks of the nail bed microciculation and hemorheology may act as reliable mark in prophesying the results of the patients sufferring from septic shock in carly and middle period.