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本文对48例高血压病合并左室肥厚的红细胞聚集性进行研究,其中心肌缺血组27例,无心肌缺血组2l例.结果示:心肌缺血组红细胞聚集指数(RBCAl)和低切变率下的全血粘度(WBV5.75_-s)显著高于无心肌缺血组和正常对照组.RBCAI>l00st.pv.Ht_mm/h者,心肌缺血组19例,占70.5%;无心肌缺血组仅6例,占28.5%,两组差别显著.24h心电监测,心肌缺血发作总时间与RBCAI成正相关(r=0.67,p<0.025).提示高血压合并左室肥厚中,红细胞过度聚集可能是诱发心肌缺血的重要因素之一.
In this paper, 48 cases of hypertension with left ventricular hypertrophy of erythrocyte aggregation were studied, including 27 cases of myocardial ischemia, no myocardial ischemia in 21 cases.The results showed: myocardial ischemia group erythrocyte aggregation index (RBCAl) and low-cut The whole blood viscosity (WBV5.75_-s) under variability was significantly higher than those without myocardial ischemia and normal controls.RBCAI> l00st. pv. Ht_mm / h, myocardial ischemia in 19 cases, accounting for 70.5%; no myocardial ischemia in only 6 cases, accounting for 28.5%, significant difference between the two groups .24h ECG monitoring, the total time of myocardial ischemia and RBCAI was positively correlated (r = 0.67, p <0.025). Prompted hypertensive patients with left ventricular hypertrophy, excessive accumulation of red blood cells may be one of the important factors inducing myocardial ischemia.