流行性出血热血液系统变化的动态观察

Dynamic Observation of Blood System Changes in Epidemic Hemorrhagic Fever

对95例流行性出血热患者各期进行了血液系统的检测。结果表明:血小板在发热期即明显下降,休克期尤为低下,多尿期开始恢复正常。白细胞计数在发热期即升高,休克期尤为显著,多尿期恢复正常。总淋巴细胞、异型淋巴细胞、单核细胞、中性杆状核粒细胞各期均有不同程度的增高。中性分叶核粒细胞各期均有不同程度下降。红细胞,血红蛋白、红细胞压积在发热期、休克期高于正常值,在少尿期、移行期、多尿期均低于正常值;血红蛋白在恢复期仍低于正常值。红细胞平均体积除恢复期外各期略有下降。红细胞平均血红蛋白含量、红细胞平均血红蛋白浓度各期均下降。红细胞形态指数、网织红细胞计数各期均增高。提示EHF患者血液系统存在有不同程度变化,这些指标对EHF的早期诊断和观察病情具有一定的临床意义。

Detections of blood system were carried out in 95 EHF patients at all stages.It was found that each of items had some changes at all stages. Platelet counts began to decrease at febrile stage.It was lower at hypoten- sive stage than that of other stages.It became recover at diuretic stage. White blood cell counts began to increase at febrile stage.It was markedly higher at hypotensive stage than that of other stages.It was recovery at diuretic stage.The total lymphcytes,atypical lymphocytes,monocytes,and band neutrocytes were increased at each stage.The segmented neutrocytes had decreased at each stage.RBC,HGB,HCT were increased at febrile and hypotensive stages.HGB,HCT were decresed at oliguric,immigrant and diuretic stages.HGB was still lower at convalescent than that of normal value.MCV had some decrease at each stage except convalescent.MCH and MCHC had some decrease at each stage.RCMI and RET had some increase at each stage.