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肾综合征出血热甲皱微循环加权积分值临床分析
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作者 刘泽富 宁国增 《中国血液流变学杂志》 CAS 1991年第1期42-46,共5页
From 1985 to 1987 Nailfold microcirculation was detected in 60 cases of HFRS for 164 times, and were comprehen- sively evaluated. The results showed that the changes of the capillary loop form were the main feature in... From 1985 to 1987 Nailfold microcirculation was detected in 60 cases of HFRS for 164 times, and were comprehen- sively evaluated. The results showed that the changes of the capillary loop form were the main feature in febrile phase, ∑(A×B) was 3. 15. The capillary loop form, fluidity and the condition around the loops all changed obviously in hypotensive phase ∑(A×B)was 5. 49. The capillary loop form and the condition around the loops also changed obviously ,∑ (A×B) was 4. 73. The fluidity of blood, however, was improved. ,The microcirculation in most of the patients in diuresis phase had recorded, except severe and fatal cases, ∑(A×B) was 3. 83. Analysing ∑(A×B), we considered that there were striking differences among mild, moderate and severe cases (P<0. 05). There was no striking differences between severe and fatal cases(P>0. 05). Nailfold microcirculation can reflect the human body microcirculation function in a certain de- gree. The clinical significances detecting it are: (1) It may be regarded as a reference item for early diagnosis and for determing a degree when the patients are admitted, (2)It may be a supervise measure in hypotensive phase, (3)It may be a reference item for supervising DIC and for anticoagulant treatment. (4) The dynamic changes of nailfold microcirculation may be a reference item for conjecturing prognosis, The quantitative analysis of nailfold microcirculation by∑ (A× B) can reflect 15 items for the changes of human body microcirculation. It can provide the reliable information for guiding the treat -ment arid conjecturing prognosis in HFRS, 展开更多
关键词 HEMORRHAGIC FEVER with RENAL yndrome multiple quantitative evaluation NAILFOLD MICROCIRCULATION
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