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目的探讨急性脑出血患者早期体温变化及外周血白细胞计数与预后的关系。方法将77例脑出血患者按体温与外周血白细胞计数分别分成发热组与不发热组;白细胞数正常组与白细胞数增高组;白细胞数轻度增高组与显著增高组,观察各组死亡率并进行统计学分析。结果发热组死亡率(67.3%)高于不发热组的死亡率(20.0%)(P<0.01);白细胞数正常组死亡率(32.4%)低于白细胞数增高组的死亡率(67.4%)(P<0.01);白细胞数轻度增高组死亡率(43.5%)低于显著白细胞数增高组的死亡率(95.0%)(P<0.01)。结论根据急性脑出血患者早期体温变化及外周血白细胞计数可对预后做出较为准确的判断,且方法简单、易行,有很高的临床应用价值。
Objective To investigate the relationship between early temperature change and peripheral blood leukocyte count and prognosis in patients with acute cerebral hemorrhage. Methods According to body temperature and peripheral blood leukocyte count, 77 patients with cerebral hemorrhage were divided into fever group and non-fever group. The number of normal white blood cells and white blood cell count increased, the number of white blood cells increased slightly and the marked increase was observed. Statistical analysis. Results The mortality of fever group (67.3%) was higher than that of non-fever group (20.0%) (P <0.01). The mortality of normal white blood cell group (32.4%) was lower than that of white blood cell group (67.4% (P <0.01). The mortality of mild leukocyte count (43.5%) was lower than that of significant leukocyte count increase (95.0%) (P <0.01). Conclusion According to the early changes of body temperature and peripheral blood leukocyte count in patients with acute cerebral hemorrhage, we can make a more accurate judgment of the prognosis, and the method is simple, easy and has a high clinical value.