摘要
目的探讨异常淋巴细胞和丙氨酸氨基转移酶(ALT)与恙虫病诊断的关系。方法诊断恙虫病患者26例,并对其血常规、血异常淋巴细胞、丙氨酸氨基转移酶(ALT)、红细胞沉降率(ESR)等进行检测,并分病程时段对异常淋巴细胞检出率进行χ2检验。结果恙虫病患者血中检出异常淋巴细胞比例明显升高,而且异常淋巴细胞检出率与病程相关。病程3 d以内异常淋巴细胞检出率为0,病程4～10 d检出率为94.4%,两相比较差异具有统计学意义,病程10 d以上患者异常淋巴细胞检出率有所下降,为66.6%,但与病程4～10 d患者比较,差异无统计学意义。同时患者伴有明显丙氨酸氨基转移酶升高。结论异常淋巴细胞的检出及ALT的升高对恙虫病的诊断有参考意义。
Objective To study the relationship between tsutsugamushi disease and the levels of lymphocyte or alanine amin-otransferase（ALT）. Methods To test blood routine, abnormal lymphocyte, alanine aminotransferase and erythrocyte sedimenta-tion rate（ESR） of 26 cases of tsutsugamushi disease, and X^2 test was employed to test the rate of abnormal lymphocyte as different stages. Results The positive rate. of abnormal lymphocyte detection in patients with tsutsugamushi rose significantly. And the positive rate was related to course of disease. The positive rate was 0 in patients with a clinical course of 3 days or less, and was 94.4% in patients with a clinical course of 4-10 days, and the difference was statistical significant. The positive rate（66.6% ）was decreased in the patients with a clinical course of 10 days or more. The alanine aminotransferase of the patients with tsutsuga-mushi disease rose significantly. Conclusion The positive abnormal lymphocyte and the high level of alanine aminotransferasecan be referenced in the diagnosis of tsutsugamushi disease.
出处
《中华全科医学》
2013年第2期191-192,共2页
Chinese Journal of General Practice
关键词
恙虫病
异常淋巴细胞
肝功能
诊断
Tsutsugamushi
Abnormal lymphocyte
Liver function
Diagnosis
