37例SARS患者外周血白细胞变化与病程、影响因素的分析

To analysis the characteristice, affecting factors of peripheral blood WBC of patients with severe acute respiratoy syndrome

  • 摘要: 目的: 研究传染性非典型肺炎(SARS)患者在病情发展过程中白细胞变化的特点,影响因素及其治疗方案。方法:以37例SARS患者为研究对象,采用相对一致的治疗方案,定期化验外周血WBC、CD4+淋巴细胞,血培养、痰培养等。对其特点、病情和治疗做统计学分析。结果:62.1%患者在病程的(15.67±5.39)d出现WBC细胞上升,平均为(15.717±3.41)×109/L,中性粒细胞比例(84.2±10.3)%,其变化与临床分型、CD4+淋巴细胞降低,激素的使用、呼吸机的使用相关,抗生素治疗与轻、重症患者白细胞变化无明显关系。结论: 传染性非典型肺炎患者的病情发展过程中出现的WBC升高可能为继发细菌感染或自然病程所致,抗生素治疗主要为辅助用药。

     

    Abstract: Objective:To analysis the characteristice、affecting factors of peripheral blood WBC of patients with severe acute respiratoy syndrome (SARS).Methods:Take 37 patients with SARS as examined WBC,CD4+lymphocyte,blood and sputum culture periodically,then analyze them with clinical types and therapy with statistic method.Results:About 62.1% patients had high WBC count in (15.675.39) days during their clinic progression,the WBC count averages were (15.7175.92)109/ L,The rate of neutrophil was (84.2±10.9)%,The high WBC were related to clinic types,lower CD4+lymphocyte,the uses of hormone and ventilator 22 of 37patients were effecting by the use of antibiotics.Conclusion:The higher WBC count was probavly induced from the secondly bacteria infection or nature progess,and could not been cured by the use of antibiotics.

     

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