摘要
测定４８例急性重型脑外伤患者伤后７天内血儿茶酚胺（ＣＡ）及伤后６小时内血糖含量，并与３５例正常人血ＣＡ含量值作对照。结果表明：外伤组血ＣＡ含量显著高于对照组；伤后７天内血去甲肾上腺素（ＮＥ）、肾上腺素（Ｅ）含量及其变化与格拉斯哥昏迷评分（ＧＣＳ）和预后均密切相关；入院时病情越重，ＧＣＳ评分越低，血ＮＥ、Ｅ含量越高；死亡组患者血ＮＥ、Ｅ含量明显高于存活组（Ｐ均＜０．０５），其与伤后２４小时内血ＮＥ、Ｅ含量分别显著正相关（ｒ＝０．５７４，Ｐ＜０．０５和ｒ＝０．４１０，Ｐ＜０．０５），而与ＧＣＳ和预后分别显著负相关（ｒ＝０．７８１，Ｐ＜０．０１和ｒ＝０．７０８，Ｐ＜０．０１）。
The levels of serum catecholamine(CA)including norepinephrine(NE),epinephrine(E),and dopamine(DA)were measured in 48 adult patients with severe brain trauma within 7 days after injury,and 35 normal persons as controls.The admission serum glucose levels of these patients were measured.The results showed:(1) The serum CA level was significantly higher in the patients than in the controls.(2)The serum NE,E levels were respectively correlated with GCS and the outcome within 7 days after injury.(3)The lower GCS was,the higher serum NE,E were.(4)The serum NE and E levels were higher in the dead group than in the survival group( P <0 05).(5)Admission serum glucose levels of these patients were significantly higher than the normal value( P <0 05).(6)Admission serum glucose levels were not only correlated with serum NE and E levels within 24 hours after injury(r=0.574, P <0 05,and r=0.410, P <0 05 respectively),but also with GCS and the outcome of these patients(r= 0.781, P <0 01 and r= 0.708, P <0 01 respectively).
出处
《中国危重病急救医学》
CAS
CSCD
1996年第2期70-73,共4页
Chinese Critical Care Medicine
关键词
脑损伤
急性
儿茶酚胺
血糖
acute brain trauma
catecholamine
serum glucose
