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218例慢性阻塞性肺病的甲皱微循环观察
引用本文:汤焕如,王学德.218例慢性阻塞性肺病的甲皱微循环观察[J].安徽医学,1991,12(4):4-6.
作者姓名:汤焕如  王学德
作者单位:蚌埠市第二医院呼吸内科,蚌埠医学院附院急诊部微循环研究室,蚌埠医学院附院急诊部微循环研究室
摘    要:报告218例慢性阻塞性肺病的甲皱微循环改变与288名正常人相比较,结果表明,患者的十二项指标的异常率均明显高于正常人(P<0.01),且有微血管的排列、袢顶宽度、微血流流速及出血等四项指标的异常率有随病情的加重而递增的趋势(P<0.05)。正常人,慢支、肺气肿及肺心病患者的微血管袢数目、管袢长度、管袢顶宽及动静脉管径等五项指标,经相关分析,均值有随病情的加重而递减的趋势。

关 键 词:肺病  微循环  阻塞性

OBSERVATIONS ON THE NAIL MICRO-CIRCULATION IN 218 CASES OF CHRONIC OBSTRUCTIVE PULMONARY DISEASES
Abstract:The changes of nail micro-circulation (NMC) in 218 patients suffering from COPD were observed and compared with 288 normal individuals. The findings showed that abnormal rates including 12 items of NMC was dramatically higher than those of the control subject (p<0.01) The abnormal rates including 4 items, such as capillary arrangement, width of ansa top, flow rate in microcirculation and hemorrhage, were increasing when the patients condition was aggravating (p<0.05). In healthy persons and patients with chronic bronchitis, pulmonary emphysema and cor pulmonale the mean value of 5 items, such as, number width and length of capillary ansae, diameter of arterioles and venules was decreasing when the patients was getting worse.
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