在初级雷诺现象中评估异常的全血细胞计值
Ozden Vezir1, Esra Ertürk Tekin1
1Mersin City Training and Research Hospital, Department of Cardiovascular Surgery, Mersin / Turkey.
Cardiovascular journal of Africa
|February 26, 2026
概括
完整血清 (CBC) 的变化,特别是血小板分布宽度 (PDW) 和红细胞分布宽度 (RDW),可以帮助诊断初级雷诺现象 (PRP). 这些标记也可能有助于理解PRP的潜在机制.
科学领域:
- 血液学 血液学 血液学
- 临床医学 临床医学
- 类风湿病学 类风湿病学
背景情况:
- 主要雷诺现象 (PRP) 是当没有潜在疾病导致雷诺现象 (RP) 时被诊断出来的.
- 了解PRP的病理生理学对于诊断和管理至关重要.
- 目前对RP的诊断方法主要集中在确定二次原因上.
研究的目的:
- 评估原发性雷诺现象 (PRP) 患者全血细胞计 (CBC) 值的变化.
- 为了确定潜在的血液学生物标志物用于PRP诊断.
- 探索CBC参数和PRP之间的关系.
主要方法:
- 对471名PRP患者和339名健康对照患者的CBC数据的回顾性分析.
- 从2010年至2019年期间从单一中心数据库收集的数据.
- 包括血小板分布宽度 (PDW),红细胞分布宽度 (RDW),血小板计数 (PLT) 和平均血小板体积 (MPV) 在内的CBC参数的统计比较.
主要成果:
- 在PRP患者和对照人群之间观察到PDW,RDW,PLT和MPV的显著差异 (p < 0.00001).
- 在PRP患者中,PDW,RDW和PLT均升高,MPV降低.
- PDW和RDW成为PRP最重要的预测参数.
结论:
- 观察到的CBC变化可能有助于理解PRP病理生理学.
- 像PDW和RDW这样的血液学参数显示出作为PRP的诊断和预后生物标志物的潜力.
- 需要进一步的研究来阐明这些CBC变化在PRP中的作用.
相关概念视频
Cardiovascular System Abnormal Findings I: Inspection and Palpation
1.0K
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
1.0K
Assessment of the Cardiovascular System III: Palpation
1.2K
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
1.2K
Disorders of the Autonomic Nervous System
1.7K
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
1.7K
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
527
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
527
Assessment of the Cardiovascular System II: Inspection
976
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
976
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
776
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
776


