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題 名 | Hemostasis in Heat Stroke and Heat Exhaustion=熱中暑與熱衰竭之凝血變化 |
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作 者 | 李偉政; 于國平; 黃偉修; | 書刊名 | 醫學研究 |
卷 期 | 9:1 1988.07[民77.07] |
頁 次 | 頁1-14 |
分類號 | 415.142 |
關鍵詞 | 熱中暑; 熱衰竭; 凝血; 變化; |
語 文 | 英文(English) |
中文摘要 | 本研究自民國74年至76年,凡因熱中暑與熱衰竭而住本院的病人共計75人,都接受凝血檢查,其中熱中暑有40人,熱衰竭35人。除一人為57歲的女性熱衰竭病人之外,其餘均為年輕的新兵。平均年齡為20.8歲。在熱中暑病患中,有6人(15%)併發瀰散性血管內凝血(disseminated intravascular coagulation),6人(15%)肝性凝血病變(hepatic coagulopathy),另外有9人(22.5%)只併發血小板減少。在熱衰竭病患中,有6人(17.14%)只併發血小板減少,1人(2.86%)肝性凝血病變,無瀰散性血管內凝血。28位熱中暑與26位熱衰竭病人接受血小板凝集試驗(platelet aggregation test)。另35位健康者當做對照組。結果顯示熱中暑與熱衰竭在血小板凝集試驗中與對照組有非常顯著差異,而且以熱中暑表現更為明顯。 |
英文摘要 | Forty cases with heat stroke (HS) and thirty-five cases with heat exhaustion (HE) were investigated for hemostatic studies including platelet count, bleeding time, prothrombin time (PT) and activated partial thromboplastin time (APTT). Additionally, plasma fibrinogen and firin(ogen) degradation product (FDP) were tested in those who had prolonged PT or/and APTT. Factor VIII assay was performed in six cases who had abnormally severe impairment of liver function and coagulopathy to differentiate the diagnosis between the disseminated intravascular coagulation (DIC)and hepatic coagulopathy (HC). Bone marrow aspiration was done in eleven cases who had thrombocytopenia without coagulopathy. The mean age of the 75 cases was 20.8 years (range: 19 to 57). Seventy-four cases were male. In the HS group we found six cases (15%) complicated with DIC, six (15%) with HC, and nine (22.5%) with thrombocytopenia only. Meanwhile, in the HE group, there were six cases (17.14%) with thrombocytopenia only, one (2.86%) with HC and no DIC. Platelet aggregation test (PAT) induced by ADP, collagen and epinephrine was conducted in twenty-eight cases of HS, twenty-six of HE and thirty-five of normal control to evaluate the hypothesis that HS or/and HE might have platelet dysfunction. Normal controls were matched on age and sex to cases. We evaluated the platelet aggrepation curves through the calculation of the slopes and used them as quantitative values of platelet aggregation. The platelet aggregation values from normal control versus HE were 11.95±4.18 vs 6.04±3.76 (p=0.0000), 3.54±1.50 vs 2.04±1.45 (P=0.0002), 2.80±0.86 vs 1.33±1.64 (P= 0.0002), in accordance with ADP, collagen and epinephrine respectively. The similar results were found upon comparison between the HE and HS. It was concluded that platelet aggregation was impaired in patients with HS and HE, with the impairment more prominent in HS. |
本系統中英文摘要資訊取自各篇刊載內容。