血常规检测在主动脉夹层与急性冠脉综合征鉴别诊断中的临床意义

Clinical Significance of Routine Blood Test in the Differential Diagnosis of Aortic Dissection and Acute Coronary Syndromes

目的对比分析主动脉夹层(AD)与急性冠脉综合征(ACS)患者的血常规差异及临床意义。方法收集132例患者:主动脉夹层(AD)患者66例,急性冠脉综合征(ACS)患者66例。比较两组患者红细胞计数(RBC)、红细胞分布宽度(RDW)、平均血红蛋白浓度(MCHC)、白细胞计数(WBC)、淋巴细胞计数(LY)、中性粒细胞计数(NR)、中性粒与淋巴细胞比值(NLR)、血小板计数(PLT)、血小板分布宽度(PDW)等血常规指标差异。结果与ACS组相比,AD患者RDW、WBC、NR、NLR相对较高,LY、PLT相对较低(P<0.05)。结论 RDW、WBC、NR、LY、NLR在鉴别AD和ACS方面有重要的辅助价值。

Objective Comparative analysis of aortic dissection（AD） and acute coronary syndrome（ACS） patients and the clinical significance of differences in blood. Methods A total of 132 patients with aortic dissection（AD） were enrolled in this study. A total of 66 patients were enrolled in this study, 66 cases of acute coronary syndrome（ACS）. The red blood cell count（RBC） of two groups were compared, red blood cell distribution width（RDW）, mean hemoglobin concentration（MCHC）, white blood cell count（WBC）, lymphocyte count（LY）, neutrophil count（NR）, neutrophil to lymphocyte ratio（NLR）, platelet count（PLT）, platelet distribution width（PDW） difference of blood routine index. Results Compared with group ACS, RDW, WBC, NR, NLR were relatively higher in patients with AD, LY, PLT is relatively low（P〈0.05）. Conclusion RDW, WBC, NR, LY, NLR have important value in differentiating AD and ACS.