脑出血急性期周围血白细胞计数与临床关系的探讨

目的探讨脑出血患者急性期周围血白细胞计数与临床之间的关系。方法脑出血患者入院后24小时内采指尖血做白细胞计数，观察不同出血量、出血部位、病情危重度和死亡患者的白细胞增高率。结果白细胞增高组病死率高于白细胞正常组，脑叶出血白细胞增高率低于其他部位出血（P〈0．05），基底节大面积脑出血白细胞增高率高于其他部位（P〈0．05），50ml以上出血患者白细胞增高率显著增加（P〈0．01）。结论脑出血急性期周围血白细胞增高提示病情重、死亡率高，可作为预后判断的临床指标之一。

Relationship between Peripheral White Blood Cell Counts and Clinical Manifestation in Acute Phase of Cerebral Hemorrhage

Objective To discuss the relationship between peripheral white blood cell counts and clinical manifestation in acute phase of cerebral hemorrhage. Methods WBC count was measured with fingertip blood within 12 hours after admission,and the relationship between WBC counting and hemorrhagic volume and site, critical degree of patients were observation. Results The mortality rate in patients with increasing WBC count was higher than that with normal WBC count. The increase of WBC count was obviously in patients with extensive basal ganglia hemorrhage but not lobar hemorrhage as compared with other parts （ P 〈 O. 05 ） ,especially the patients with hemorrhage volume more than 50 ml（P 〈 0. O1 ）. Conclusion The increase of WBC count in acute phase of cerebral hemorrhage predicts the severe condition and high mortality rate, and can be used as one of clinical inde- xes to evaluate the prognosis.