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评估常规进行的血液学和生化学参数对急性缺血性脑卒中患者的预后的影响。

Evaluation of routinely performed hematological and biochemical parameters for the prognosis of acute ischemic stroke patients.

机构信息

Biochemistry Research Laboratory, Central India Institute of Medical Sciences, Nagpur 440010, India.

出版信息

Neurol Sci. 2011 Oct;32(5):855-60. doi: 10.1007/s10072-011-0718-x. Epub 2011 Aug 24.

Abstract

We have investigated serial changes in routine hematological and biochemical analysis in the follow-up samples collected from acute ischemic stroke (AIS) patients (n = 17) at admission (0 h) and 24, 48, 72 and 144 h after admission, respectively, to determine their prognostic significance. Blood samples from age and sex matched healthy control subjects (n = 12) were also collected. We observed significant changes in erythrocyte sedimentation rate (ESR), white blood cell count (WBC), polymorph, lymphocyte, and total protein levels in discharged and expired AIS patients. These changes were more in expired AIS patient throughout the follow-up. Similarly low hemoglobin (Hb) and globulin were observed only in expired AIS patient. Thus ESR, WBC, polymorph, lymphocyte, and total protein may be used as a predictor for severity of AIS. Similarly low Hb and globulin in AIS patient may be used as a predictive biomarker for short-term mortality after AIS.

摘要

我们研究了急性缺血性脑卒中(AIS)患者入院时(0 小时)及入院后 24、48、72 和 144 小时的随访样本中常规血液学和生化分析的系列变化,以确定其预后意义。我们还收集了年龄和性别匹配的健康对照组(n = 12)的血液样本。我们观察到出院和死亡的 AIS 患者的红细胞沉降率(ESR)、白细胞计数(WBC)、多形核、淋巴细胞和总蛋白水平有明显变化。在整个随访过程中,死亡的 AIS 患者变化更大。同样,只有死亡的 AIS 患者的血红蛋白(Hb)和球蛋白较低。因此,ESR、WBC、多形核、淋巴细胞和总蛋白可作为 AIS 严重程度的预测因子。同样,AIS 患者的低 Hb 和球蛋白也可作为 AIS 后短期死亡率的预测生物标志物。

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