肺心病合并脑梗死的血液流变学变化分析

目的　探讨肺心病合并脑梗死患者的血液流变学指标变化。方法　用国产SDZ -V型全自动血液流变学检测仪分别检测 6 0例单纯肺心病患者和 31例肺心病合并脑梗死患者的血液流变学各项指标并做比较。结果　慢性肺心病合并脑梗死患者的全血粘度、血浆粘度、红细胞压积、血小板粘附率、纤维蛋白原含量及血沉值与单纯肺心病患者的各值相比 ,差异有显著性意义 (P <0 0 5 ) ;而血红蛋白含量与单纯肺心病患者的比较 ,差异无显著性意义(P >0 0 5 )。结论　肺心病合并脑梗死患者的血液呈高凝和高粘滞状态 ,强调肺心病在常规治疗基础上应使用抗凝药物治疗

Analysis on hemorheology of cor pulmonale complicated with cerebral infarction

Objective To investigate the patients'hemorheology of pulmonary heart disease complicated with cerebral infarction.Methods By using the SDZ-V hemorheology analyzer,the indexes of hemorheology in 31 cases with pulmonary heart disease complicated cerebral infarction and 60 cases with pulmonary heart disease were measured.Results Compared with the control group,the indexes in whole blood viscosity,plasma viscosity and hematocrit,platelet adhesiveness rate and fibrinogen erythrocyte sedimentation rate were significantly higher,but the changes of hemoglobin in both groups were not significant.Conclusion The blood of patients with cor pulmonale complicated with cerebral infarction is hypercoagulability and hyperviscosity.The anticoagulant drugs should be used,besides routine therapy,to treat the cor pulmonale.