Platelet aggregation size and volume in chronic obstructive pulmonary disease.

I Onder, S Topcu, H S Dökmetas, C Türkay, Z Seyfikli
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Abstract

In this study the effect of hypoxia on thrombocytes was investigated in patients with a chronic obstructive pulmonary disease (COPD). 15 Hypoxic (group 1), 15 nonhypoxic (group 2) patients with COPD and 10 healthy persons (group 3) were included in the study. The differences in haemoglobin, hematocrit and PaCO2 values of group 1 and group 2 were insignificant, but there was a significant difference between group 3 and the other two groups. The differences in blood pH values in the above groups were insignificant, but the differences in FEV1, FVC and PaO2 values were significant. We found that thrombocyte aggregation increased significantly in group 1 and group 2. Also the platelet count decreased and mean platelet volume increased significantly in group 1. As a result, we think that in hypoxic patients with COPD, thrombocyte count decreases, volume and aggregation formation increases and oxygen plus antiaggregation therapy may have positive effects on the survival and life quality of these patients.

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慢性阻塞性肺疾病的血小板聚集大小和体积。
本研究探讨了慢性阻塞性肺疾病(COPD)患者缺氧对血小板的影响。本研究共纳入缺氧组15例(1组)、非缺氧组15例(2组)和健康组10例(3组)。1组与2组血红蛋白、红细胞压积、PaCO2值差异无统计学意义,而3组与其他两组比较差异有统计学意义。各组血pH值差异不显著,但FEV1、FVC、PaO2值差异显著。我们发现1组和2组血栓细胞聚集明显增加。1组患者血小板计数明显减少,血小板平均体积明显增加。因此,我们认为在低氧COPD患者中,血小板计数减少,体积和聚集形成增加,氧加抗聚集治疗可能对这些患者的生存和生活质量有积极的影响。
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