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为探讨儿童肾炎血液凝固性的变化,本文用血栓弹力图研究了51例儿童肾炎和268例健康儿童血液的凝固性。结果表明:各组病人均有不同程度的血栓弹力图变化;11例(11/14)肾小球肾炎;10例(10/23)肾病综合征;8例(8/10)过敏性紫癜肾炎和4例(4/4)尿毒症病人血液呈高凝状态。儿童肾炎血栓弹力图以高凝状态为主,特别是有肾功能衰竭的病人,主要表现在血栓弹力图ma/m值明显升高。血栓弹力图特别适用于监测儿童肾炎血液凝固状态和指导临床用药。
In order to explore the changes of blood clotting in children with nephritis, the thromboelastography was used to study the blood coagulation of 51 children with nephritis and 268 healthy children. The results showed that: all groups of patients have varying degrees of thrombus elastic diagram changes; 11 cases (11/14) glomerulonephritis; 10 cases (10/23) nephrotic syndrome; 8 cases (8/10) allergic purpura nephritis And 4 cases (4/4) uremic patients showed hypercoagulable blood. Children with nephritis thrombus elastic map to hypercoagulable state, especially in patients with renal failure, mainly in the thrombus elasticity map ma / m values were significantly higher. Thrombus Elastogram is particularly suitable for monitoring the status of children with nephritis blood coagulation and clinical guidance.