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本文应用放射免疫分析法对35例老年脑出血急性期患者进行了血清皮质醇测定。与对照组及治疗前后进行比较,对出血量、出血部位等及其关系进行了探讨。结果显示出血量越大,意识障碍越重,并显示丘脑出血时浓度升高明显,随治疗好转其浓度下降。提示对皮质醇的动态观察有助于判断病情,了解预后,掌握老年人脑出血后下丘脑——垂体——肾上腺皮质轴功能紊乱恢复的时间和速度。
In this paper, radioimmunoassay 35 cases of elderly patients with acute cerebral hemorrhage serum cortisol determination. Compared with the control group and before and after treatment, the amount of bleeding, bleeding sites and their relationship were discussed. The results showed that the greater the amount of blood loss, the heavier the disturbance of consciousness, and showed a significant increase in the concentration of thalamic hemorrhage, with the treatment to improve its concentration decreased. It is suggested that the dynamic observation of cortisol can help to judge the condition, understand the prognosis and master the recovery time and speed of hypothalamic-pituitary-adrenal axis dysfunction after cerebral hemorrhage in the elderly.