血小板计数及血清胆碱脂酶测定对上消化道出血病因的鉴别意义

目的：探讨上消化道出血患者血清胆碱脂酶（CHE）水平和血小板计数（PLT）测定对其病因的鉴别诊断意义。方法：对比分析肝硬化并食管胃底静脉曲张组（A组，n=120）和消化性溃疡并出血组（B组，n=329）静脉血清CHE水平和PLT计数。结果：A组血清CHE水平均低于正常，B组仅8%低于正常，分别为2762.9±849.5u/L和9762.4±562.4u/L，差异明显（P〈0.001）。A组PLT计数（52.5±21.7）×10^9/L明显低于B组（213.2±40.9）×10^9/L，差异显著（P〈0.001）。结论：血清CHE水平和PLT计数的测定可作为鉴别肝硬化并食管胃底静脉曲破裂出血及消化性溃疡并出血的简单有效方法。

The Significance of Platelet Counter and Serum Cholinesterase for Identificating the Factors of Upper Gastrointestinal Bleeding

Objective： To study the discriminative and diagnostic significance of serum eholinesterase（CHE） and platelet eounter（PLT） of patients with upper gastrointestinal hemorrhage to the causes of upper gastrointestinal bleeding. Methods： Comparing and analyzing the levels of PLT and CHE of 120 patients with hepatic cirrhosis complicated with esophagus gustrie fundus variees （Group A） and 329 patients with peptic ulcer bleeding （Group B）. Results： The level of CHE which was lower than normal in Group A （2762.9±849.5 u/L ）and Group B（9762.4±562.4 u/L） was 100% and 8, P 〈 0.001）. The level of PLT in Group A was lower than that in Group B （ 52.5±21.7）×10^9/L ＆ （213.2±40.9）×10^9/ L] ,P 〈 0.001. Condusions： It is an effective and simply way to discriminate liver cirrhosis and esophageal and peptic ulcer bleeding to cheek the serum eholinesterase and platelet counter.