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对248例脑血管疾病(CVD)患者和18例对照组的脑脊液进行了分光分析。结果:①对照组无特异吸收峰,138例脑梗塞中有128例(92.8%)为非出血型曲线;出血组110例,88例(80.0%)呈出血型曲线,多呈单一或混合色素吸收峰,高铁血红蛋白(MHb)吸收峰提示脑内血肿。脑脊液分光分析(CSF-SPE)对缺血及出血性 CVD 的诊断和鉴别诊断有临床意义。②CSF-SPE 对脑蛛网膜下腔出血(SAH)、脑梗塞及非包裹性脑出血和幕下的出血或梗塞,与临床诊断符合率较高。③根据不同病程 CSF-SPE 曲线的变化特点,可估计病程、病情,并可鉴别新鲜与陈旧性出血或再出血。④CT 与 CSF-SPE 未证实临床诊断的相互筛选,能彼此互利、提高 CVD 的确诊率。
Cerebrospinal fluid in 248 patients with cerebrovascular disease (CVD) and 18 controls was analyzed spectrometrically. Results: ① There was no specific absorption peak in the control group. 128 cases (92.8%) of 138 cerebral infarctions were non-hemorrhagic curve. 110 cases were hemorrhage and 88 cases (80.0%) were hemorrhagic curve, mostly single or mixed pigment Absorption peak, methemoglobin (MHb) absorption peak prompted intracerebral hematoma. Cerebrospinal fluid spectroscopy (CSF-SPE) is clinically significant for the diagnosis and differential diagnosis of ischemic and hemorrhagic CVD. ②CSF-SPE on cerebral subarachnoid hemorrhage (SAH), cerebral infarction and non-wrapped cerebral hemorrhage and infratentorial bleeding or infarction, and clinical diagnosis with a high rate. ③ According to the different course of CSF-SPE curve changes in the characteristics of disease course can be estimated, the disease, and can identify fresh and old bleeding or rebleeding. ④CT and CSF-SPE did not confirm the mutual screening of clinical diagnosis, mutual benefit and improve the diagnosis of CVD.