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1、进展型脑梗死血脂、血流变、血凝检测的临床意义进展型脑梗死血脂、血流变、血凝检测的临床意义[摘要]目的研究进展型脑梗死患者血脂、血流变、血凝指标的变化,探讨进展型脑梗死的发病机制,为其临床早期诊断和治疗提供依据。方法对比检测了72例进展型脑梗死患者与72例完全型脑梗死患者血浆凝血酶原时间、凝血酶时间、部分凝血活酶时间、纤维蛋白原水平和血脂、血液流变学的各项指标。结果与完全型脑梗死患者比较,进展型脑梗死患者的血浆凝血酶原时间、凝血酶时间、部分凝血活酶时间显著缩短,而纤维蛋白原水平显著升高(PV0.01、0.05):血总
2、胆固醇、甘油三酯、低密度脂蛋白水平明显增高(PV0.01、0.05);全血粘度、全血还原黏度、红细胞聚集指数和红细胞变形指数均较完全型组明显升高(PV0.01、0.05)o结论进展型脑梗死患者存在着明显的高凝血状态、血流变的异常和高脂血症。[关键词]脑梗死;血凝;血流变;血脂中图分类号:R743.3文献标识码:A文章编号:1009_816X(2007)04_0224_03StudyontheofChangesinSerumlipidsCoagulationandHemorheologyinPatientswithP
3、rogressiveCerebralInfarction.RUHai-gang,WANGJian~liang.Departmentofneurology,ShenzhouHospitalofTCM,Zhejiang312400,China[Abstract]ObjectiveToexplorethepathogenesisandlaboratorytestofprogressivecerebralinfarction.MethodsProthrombintime(PT),thrombintime(TT),activ
4、atedpartialthromboplastintime(APTT),fibrinogen(Fib),thelevelofbloodlipidsandtheindicatorsofhemorheologyweremeasuredin72patientswithprogressivecerebralinfarctionand72patientswithcompletecerebralinfarction.ResultsComparedwithcompletecerebralinfarctionpatients,PT
5、,TTandAPTTinpatientswithprogressivecerebralinfarctionweresignificanllyshorter・TheconcentrationofFibandthelevelsofTC,TGandLDLweresignificantlyhigherinpatientswithprogressivecerebralinfarction(P<0.05一0.01).Thewholebloodviseosity(highshear,middleshear,lowshear),t
6、hewholebloodrestoreviscosityandRBCaggregation,RBCdeformabilityweresignificantlyhigherinpatientswithprogressivecerebralinfarctionthanthoseinpatentswithcompletecerebralinfarction(P<0.05一0.01).ConclusionsThefunctionofcoagulationandthecontentsofbloodlipidsinthepat
7、ientswithprogressivecerebra1infarctionaresignificantlystrongerorhigherthanthoseinpatientswithcompletecerebralinfarctionandsignificanabnormalalterationofhemorheologyexistsinpatientswithprogressivecerebralinfarction.[Keywords]Progressivecerebralinfarction;Coagul
8、ation;Ilemorheology;Bloodlipid脑梗死具有很高的复发率、致残率和死亡率,严重地危害着中老年人的健康和山存质量。进展型脑梗死病情进展迅速,神经功能缺损严重,致残率和死广率更高。本文检测了72例进展型脑梗死病人的血脂、血流变和凝血指标,旨在为临床急性脑梗死的诊断和治疗提供一定的依据。1资料和方法1.1一般资料:选择我院2002年至20