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目的和方法 为探讨蛛网膜下腔出血(SAH)不同时期血与脑脊液中一氧化氮(NO)含量变化的临床意义;送检14 例SAH 不同时期血清与脑脊液,采用Green 改良法检测NO含量,并配有30 例血清的正常对照。结果 SAH 血清中NO均较对照组低,尤以第2 周为著;脑脊液中NO含量第2 周最低,第3 周含量高于第1周;SAH的出血量多少与血和脑脊液中NO含量呈负相关。结论 SAH 的NO的含量变化说明,NO减少是SAH的脑血管痉挛的原因之一
Objective and Methods To investigate the clinical significance of the changes of nitric oxide (NO) content in blood and cerebrospinal fluid (CSF) in different stages of subarachnoid hemorrhage (SAH), to examine the serum and cerebrospinal fluid (CSF) in 14 cases of SAH at different stages, And with 30 cases of serum normal control. Results NO in SAH serum was lower than that in control group, especially in the second week. The content of NO in cerebrospinal fluid was the lowest in the second week and the content in the third week was higher than that in the first week. The amount of SAH in the blood was correlated with the content of NO in blood and cerebrospinal fluid Negative correlation. Conclusions The change of NO content in SAH indicates that NO reduction is one of the causes of cerebral vasospasm in SAH