摘要
急性脑梗塞患者121例,男82例,女39例,平均年龄63.82±9.21岁,对其发病早期的血糖水平和CT 扫描所示的梗塞灶大小进行了临床观察。发现既往有糖尿病史和应激反应所致的高血糖症患者的梗塞灶较血糖正常者明显增大,有显著性差异。提示急性脑梗塞患者发病早期应避免应用高渗葡萄糖,尽快降低血糖水平对其预后可能有重要的临床意义。
Observation of blood glucose levels in relation to the sizes of infarcts shownedby CT scanning in the early stage was carried out in 121 patients with acutecerebral infarction.Among these 121 patients,42 had diabetes mellitus,23 hadtransient hyperglycemia,56 had normal blood glucose levels.The sizes of infarcts were remarkably larger in the first two groups of patientsthan those in the group with normal blood glucose levels (56.28+27.76cm^3 and41.52±23.63cm^3 Vs 28.60±22.04cm^3,P<0.001 and P<0.05).We think that hyperglycemia in the early stage of acute cerebral infarctionmight cause more serious damage to the brain tissue.Hence,it might be of greathelp to the patients with acute cerebral infarction to decrease blood glucose level inthe early stage.
出处
《青岛医学院学报》
1989年第4期275-277,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
脑栓塞
血糖
梗塞灶
CT扫描
Cerebral infarction
Diabetes mellitus,non-insul in-dependent
Hyperlycemia
Tomography,X-ray computed
