Harkness R A, Lund R J
J Clin Pathol. 1983 Jan;36(1):1-8. doi: 10.1136/jcp.36.1.1.
CSF obtained for clinical purposes from newborn, children and adults has been analysed by high pressure liquid chromatography for hypoxanthine, xanthine, inosine, uridine and urate. Large rises in hypoxanthine and to a lesser extent xanthine occur for about 24 h after hypoxia. High concentrations were associated with later evidence of brain damage or subsequent death. Changes in CSF could be independent of those in plasma. Small or negligible rises were associated with localised and generalised infections including bacterial meningitis, fits, or both. Marked and rapid rises were found after death. These estimations may "predict" the extent of brain damage or brain death.
为临床目的从新生儿、儿童和成人获取的脑脊液,已通过高压液相色谱法分析其中的次黄嘌呤、黄嘌呤、肌苷、尿苷和尿酸盐。缺氧后约24小时,次黄嘌呤大幅升高,黄嘌呤升高幅度较小。高浓度与随后出现的脑损伤证据或死亡相关。脑脊液的变化可能与血浆变化无关。小幅度升高或可忽略不计的升高与局部和全身性感染有关,包括细菌性脑膜炎、惊厥或两者皆有。死后发现有明显且快速的升高。这些测定可能“预测”脑损伤或脑死亡的程度。