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用放免法测定20例蛛网膜下腔出血(SAH)患者血浆内皮素(ET)含量在不同时期及不同病程的动态变化。结果发现SAH组1~7天,8~21及22~28天的患者血浆ET高于正常对照组(P<0.01.P<0.05).且第1周内ET含量最高,伴有脑血管痉挛者(CVS)血浆ET高于不伴有CVS者(P<0.01)。提示SAH后CVS与血浆ET关系密切,ET参与CVS的病理生理过程。
The radioimmunoassay was used to determine the plasma levels of endothelin (ET) in 20 patients with subarachnoid hemorrhage (SAH) at different periods and different durations. The results showed that plasma ET in SAH group was higher than that in normal control group at 1-7 days, 8-21 and 22-28 days (P <0.01, P <0.05). ET was the highest in the first week, ET in CVS was higher than that in CVS (P <0.01). It is suggested that CVS has a close relationship with plasma ET after SAH. ET participates in the pathophysiological process of CVS.