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[脑梗死患者动脉血和脑脊液的气体分析研究及乳酸测定]

[Gasometric studies and lactic acid determinations in arterial blood and cerebrospinal fluid in brain infarction].

作者信息

Rafałowska J, Friedman A, Karczewska E, Niebrój-Dobosz I, Tomankiewicz Z

出版信息

Neurol Neurochir Pol. 1978 Nov-Dec;12(6):689-97.

PMID:724044
Abstract

In 54 cases of brain infarction and 17 control cases the gasometric parameters and lactic acid level were determined in arterial blood and cerebrospinal fluid. Metabolic acidosis was demonstrated in the arterial blood and cerebrospinal fluid. Respiratory acidosis compensated partly metabolic acidosis. Changes in the cerebrospinal fluid were more frequent and more pronounced, especially in cases with fatal outcome. Deep disturbances of acid-base balance complicated with hypoxia may have prosnostic significance while moderate rise in lactic acid level is without this significance.

摘要

在54例脑梗死患者和17例对照病例中,测定了动脉血和脑脊液中的气体参数及乳酸水平。动脉血和脑脊液中均出现代谢性酸中毒。呼吸性酸中毒部分代偿了代谢性酸中毒。脑脊液中的变化更频繁、更明显,尤其是在预后不良的病例中。酸碱平衡的深度紊乱合并缺氧可能具有预后意义,而乳酸水平的适度升高则无此意义。

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