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本文对60例脑出血及25例脑梗塞病人急性期血浆皮质醇含量进行了测定并与31例正常人对照,结果表明脑梗塞病人与正常人无明显差异;脑出血组则明显高于脑梗塞组。脑出血病人病情越重含量越高,脑出血极重型血浆皮质醇含量高于1380nmol/L。11例含量在1987nmol/L以上者全部死亡。脑出血1周后随病情好转血浆皮质醇含量明显下降者均存活;含量持续增高者预后不良。可见血浆皮质醇测定有助于判定急性脑血管病患者(尤其是脑出血)的病情和预后。
In this paper, 60 cases of cerebral hemorrhage and 25 cases of cerebral infarction in patients with acute plasma cortisol levels were determined and 31 cases of normal controls, the results showed that patients with cerebral infarction and normal no significant difference; cerebral hemorrhage was significantly higher than cerebral infarction group. Patients with cerebral hemorrhage, the more severe the higher the content of cerebral hemorrhage extremely heavy plasma cortisol content higher than 1380nmol / L. Eleven patients with more than 1987 nmol / L all died. One week after intracerebral hemorrhage, all patients survived with the improvement of plasma cortisol levels. Visible plasma cortisol determination can help determine the disease and prognosis of patients with acute cerebrovascular disease (especially cerebral hemorrhage).