论文部分内容阅读
随着对脑血管病研究的不断深入,人们发现许多实验室指标与脑梗塞的病情轻重、预后好坏呈现相关性,这些实验室指标有助于判断脑梗塞的预后,本文就主要的指标做一总结。1 血糖水平 秦斌等报道,急性脑梗塞后高血糖不仅临床表现重(P<0.01)和脑缺血性损害范围大(P<0.05),而且对短期预后也有不良影响。文献报道,血糖水平高于8.6mmol/L时,预后差,动物实验和临床资料表明,高血糖水平加重脑梗塞的损害,而血糖水平偏低,对缺血脑组织有保护作用,可减轻脑梗塞患者神经系统损害的恶化程度和促进神经功能康复。Berger等发现,12例血糖高于8.4mmol/L的脑梗塞患者,1周内病死率高达42%,CT和尸解均发现有明显脑水肿和中线移位,而14例血糖低于5.6mmol/L的无一例死亡,CT扫描也无明显中线移
With the deepening of the research on cerebrovascular disease, many laboratory indicators and severity of cerebral infarction were found, the prognosis is good or bad, these laboratory indicators help to determine the prognosis of cerebral infarction, this article on the main indicators do A conclusion. 1 blood glucose levels Qin Bin and other reports, hyperglycemia after acute cerebral infarction not only clinical manifestations (P <0.01) and cerebral ischemic damage range (P <0.05), but also have a negative impact on short-term prognosis. Reported in the literature, blood glucose levels higher than 8.6mmol / L, the prognosis is poor, animal experiments and clinical data show that high blood sugar levels increase the damage of cerebral infarction, and low blood sugar levels, the protection of ischemic brain tissue can reduce the brain Degradation of nervous system damage in patients with infarction and promotion of neurological rehabilitation. Berger et al found that 12 patients with blood glucose higher than 8.4mmol / L in patients with cerebral infarction, 1 week mortality rate as high as 42%, CT and autopsy found significant cerebral edema and median shift, and 14 cases of blood glucose less than 5.6mmol / L without death, CT scan no significant central shift