肝硬化门静脉高压症病人血液流变学研究

测定３０例肝硬化门静脉高压症病人（ｐＨ）和２５例正常人血液流变学参数。发现ｐＨ组全血粘度、血浆粘度和血球压积均低于正常人。低切变率下全血粘度，肝功能Ⅰ级病人＞Ⅱ级＞Ⅲ级。近期出血组全血粘度、血浆粘度、血球压积和血沉方程Ｋ值明显低于无出血组和既往出血组。结果表明门静脉高压症病人全血粘度明显低于正常，且随肝功能受损程度而降低，当病人有近期出血时下降更为明显。临床上监测血液流变学多数，对判断ｐＨ肝功能损害程度和出血情况有一定价值。

A STUDY ON HEMORRHEOLOGY IN THE PATIENTS WITH PORTAL HYPERTENSION OF CIRRHOSIS

The paper reports hemorrheology in 30 patients with portal hypertension of cirrhosis and 25 normal controls.The results showed that blood viscosity(BV),plasma viscosity(PV)and HCT were lower in portal hypertension group than those in normal controls.BV in the patients with liver function grade 1 was higher than that of grade 2,and the later was higher than that of grade 3.BV.PV,HCT and ESR -K were lower in recently bleeding group than those in bloodless roup and in past bleeding group.It is suggested that the BV in portal hypertension of cirrhosis was lower than that in normal controls and more lower with the degree of damage of liver function,and it is more evident if the patients have recent bleeding.The authors think that the cause of lower BV in patients with portal hypertension is the decrcase of whole blood cells,the lower of HCT and PV.The lowet By may decrease the veasel resistance,and increase the output of heart.Clinical investigation of hemorrheological parameters is of some value in judging the damage degrees of liver function and the state of bleeding in patients with portai hypertension.