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Red cell and platelet distribution widths in patients with angina pectoris and acute myocardial infarction

机译:心绞痛和急性心肌梗死患者的红细胞和血小板分布宽度

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Aim We aimed to determine the relationship of red cell and platelet distribution widths with the onset of acute myocardial infarction, to enable the early detection and prevention of acute myocardial infarction. Methods Red cell and platelet distribution widths were retrospectively determined in 46 patients with stable angina pectoris and 140 patients with acute myocardial infarction who were brought to the emergency department of our institution. Red cell and platelet distribution widths were determined with an automatic blood cell analyzer, and the results were compared between the acute myocardial infarction and angina pectoris groups. Results Both red cell and platelet distribution width values obtained at onset were significantly higher in the acute myocardial infarction group than in the angina pectoris group (red cell distribution widths, 46.4 ± 0.51% versus 44.5 ± 0.59%; mean difference ?1.91 [95% confidence interval ( CI) , ?3.79 to ?0.34]; platelet distribution widths, 12.1 ± 0.22 fL versus 11.1 ± 0.17 fL ; mean difference ?1.03 [95% CI , ?1.58 to ?0.47]). The red cell distribution widths before onset was not different between the acute myocardial infarction and angina pectoris groups; however, the platelet distribution widths before onset was higher in the acute myocardial infarction group (red cell distribution widths, 46.5 ± 0.85% versus 45.9 ± 0.59%; mean difference ?0.71 [95% CI , ?2.74 to 1.30]; platelet distribution widths, 11.4 ± 0.39 fL versus 10.6 ± 0.21 fL ; mean difference ?0.83 [95% CI , ?1.66 to 0.11]). Conclusion Red cell distribution widths and especially platelet distribution widths may contribute to the early detection of acute myocardial infarction.
机译:目的我们旨在确定红细胞和血小板分布宽度与急性心肌梗塞发作之间的关系,以便能够早期发现和预防急性心肌梗塞。方法回顾性分析46例稳定心绞痛患者和140例急性心肌梗死患者的红细胞和血小板分布宽度,这些患者被送往我院急诊科。用自动血细胞分析仪测定红细胞和血小板的分布宽度,并比较急性心肌梗塞和心绞痛组的结果。结果急性心肌梗死组开始时获得的红细胞和血小板分布宽度值均显着高于心绞痛组(红细胞分布宽度,分别为46.4±0.51%和44.5±0.59%;平均差异为1.91%[95%置信区间(CI)为?3.79至?0.34];血小板分布宽度为12.1±0.22 fL与11.1±0.17 fL;平均差为?1.03 [95%CI,?1.58至?0.47]。急性心肌梗死和心绞痛组之间发病前的红细胞分布宽度无差异。然而,急性心肌梗死组的发病前血小板分布宽度较高(红细胞分布宽度为46.5±0.85%对45.9±0.59%;平均差为±0.71 [95%CI,?2.74至1.30];血小板分布宽度,分别为11.4±0.39 fL和10.6±0.21 fL;平均差异约为0.83 [95%CI约为1.66至0.11]。结论红细胞分布宽度,尤其是血小板分布宽度可能有助于早期发现急性心肌梗死。

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