Covid-19患者白细胞、d-二聚体和乳酸脱氢酶水平变化的比较研究

M. Mones, Haider Abd Jabbar Al-Ammar, Aqeel Raheem Al-Barqawi, May Jaleel Abed
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摘要

冠状病毒是一种新的大流行疾病,始于中国武汉,后来蔓延到全球。伊拉克每天报告的COVID-19病例数量缓慢增加。本研究旨在探讨Covid-19对白细胞(WBC)、d-二聚体和乳酸脱氢酶(LDH)正常范围的影响。这项研究使用聚合酶链反应分析对65名SARS-CoV-2检测呈阳性的患者进行了研究。症状轻微且胸部CT扫描正常的患者分为三组:症状轻微且胸部CT扫描正常的患者、以发热、咳嗽、其他呼吸道症状为表现的中度疾病患者和病情严重的患者。在研究期间,从2020年12月27日至2021年4月1日在Al-Diwaniyah教学医院入院的所有患者的白细胞计数、乳酸脱氢酶(LDH)水平和d -二聚体水平参数的数据收集。新冠肺炎患者WBC、d -二聚体、LDH分别高于对照组(8.15 X109/L、390 ng/ml、593 U/L),差异有高度统计学意义(p < 0.001)。不同严重程度患者WBC计数、LDH差异无统计学意义(p > 0.05)。白细胞计数、d -二聚体和LDH增高会增加死亡风险。这些体征可以可靠地预测病人住院期间的预后。我们研究的最佳实验室标记物是LDH。
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Changes in White Blood Cells, D-Dimer and Lactate Dehydrogenase Level in Covid-19 Patients A Comparative Study
Coronavirus is a new pandemic disease that began in Wuhan, China, and has since spread over the globe. The number of COVID-19 cases reported daily in Iraq has slowly increased. This study aims to investigate the effect of Covid-19 on the normal range of White Blood Cells (WBC), D-Dimer, and Lactate Dehydrogenase (LDH). This study looked at 65 patients who had tested positive for SARS-CoV-2 using polymerase chain reaction analysis. Patients with mild symptoms and a normal CT scan for the chest were separated into three groups: those with mild symptoms and a normal CT scan for the chest, those with intermediate disease presenting with fever and cough, other respiratory symptoms, and those with severe disease. At the time of the study, all patients' data were collected from Al-Diwaniyah Teaching hospital admission for parameters of White blood cell count, lactate dehydrogenase (LDH) levels, and D-Dimer levels, from December 27, 2020, to April 1, 2021. The WBC count, D-Dimer, and LDH in the patients with COVID-19 were higher than that of the control group (8.15 X109/L versus 390 ng/ml and 593 U/L), respectively, and the difference was highly significant (p < 0.001). There was no significant difference in WBC count and LDH among patients according to the severity (p > 0.05). A larger leukocyte count, D-Dimer, and LDH increased the risk of death. These signs can reliably predict a patient's prognosis while in the hospital. Our study's best lab marker was LDH.
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