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微透析在重症蛛网膜下腔出血患者中的应用 被引量：2

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摘要 目的:检验微透析监测对于重症蛛网膜下腔出血(SAH)患者缺血发作的敏感性。方法:对于10例重型SAH患者,将微透析导管置入患者脑部,在住院期间定期行床边TCD检查,分析检查数据,并收集分析微透析数据。结果:在观察的10例患者中,其中9例通过TCD监测确定了血管痉挛的发生,其中4例出现了新发的缺血病灶。微透析的监测数值与此结果相吻合,出现了乳酸/丙酮酸比值升高和葡萄糖的降低(P<0.05)。结论:在重型SAH患者中,发生血管痉挛的情况比例很高。通过微透析监测的数据分析可以看出,微透析监测对于血管痉挛的发生具有一定的预判性。在发生了血管痉挛后,微透析监测对于治疗的指导意义还有待于更大规模的研究。
作者 程玮涛 凌锋 王宁 陈文劲 徐跃峤
机构地区 首都医科大学宣武医院
出处 《实用医学杂志》 CAS 北大核心 2012年第9期1497-1499,共3页 The Journal of Practical Medicine
关键词 蛛网膜下腔出血 重症 血管痉挛 微透析
分类号 R743.3 [医药卫生—神经病学与精神病学]
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参考文献10

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同被引文献28

  • 1施莲珍,常娟,秦纪平.尿毒症血液透析患者合并脑血管意外23例临床分析[J].世界临床药物,2009,30(2):104-106. 被引量：5
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实用医学杂志
2012年 第9期

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