探讨血栓性疾病的诊断指标

Investigating the diagnostic standard of thrombotic diseases

目的探讨血栓形成及其诊断指标。方法选择冠心病、心绞痛、大脑供血不足患者和无遗传病的卫校学生,分别从静脉采血0.5 mL,用扫描电镜观察、对比。结果冠心病、心绞痛、大脑供血不足患者的血液中均有不同程度的红细胞叠加、粘连和微血栓(红、白、混合栓<0.5 mm);卫校学生的血细胞正常,无红细胞叠加、粘连和微血栓。结论血液中出现红细胞叠加、粘连是血栓形成前期的超微病理改变;微血栓(<0.5 mm)作为血栓性疾病早期诊断指标。

[Objective] To investigate the diagnostic standard of thrombus formation. [Methods] Selecting patients with coronary heart disease （CHD）, angina pectoris or cerebrum blood supply insufficiency as well as the healthy students from health schools to pith the blood separately from their veins （0.5 ml）. Observing and contracting the blood sample under the scanning electron microscope. [Results] The blood of each patient has erythrocyte superimposition, adhesion and micro thrombus formation （Red pale and mixed thrombus 〈0.5 mm）, which is only different in degree. While the blood of the healthy students is normal, this has no erythrocyte superimposition, adhesion or micro thrombus formation. [ Conclusions] The erythrocyte superimposition and adhesion in patient＇s blood is the micro pathology change of the earlier period of the thrombus formation; and the micro thrombus （〈0.5 mm） is the diagnostic standard of thrombotic diseases in the earlier period of the thrombus formation.