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吉兰-巴雷综合征中的自主神经功能障碍。血流动力学和神经生化研究。

Autonomic dysfunction in the Guillain-Barré syndrome. Hemodynamic and neurobiochemical studies.

作者信息

Durocher A, Servais B, Caridroix M, Chopin C, Wattel F

出版信息

Intensive Care Med. 1980;6(1):3-6. doi: 10.1007/BF01683073.

Abstract

In 12 patients suffering from the Guillain-Barré syndrome, with autonomic dysfunction, a hemodynamic study was performed and biological counts of neurotransmitter metabolites were repeatedly taken in the urine, the plasma and the lumber cerebrospinal fluid. In the course of the Guillain-Barré syndrome with autonomic dysfunction the changes in hemodynamic indices suggest a state of sympathetic hyperactivity. There is an increase in cerebrospinal neurotransmitter metabolite levels with an increase in central cathecholaminergic and serotoninergic activity. The findings point to an interference of central structures in the sympathetic hyperactivity observed.

摘要

对12例患有格林-巴利综合征且伴有自主神经功能障碍的患者进行了血流动力学研究,并多次采集其尿液、血浆和腰段脑脊液中的神经递质代谢物进行生物学计数。在伴有自主神经功能障碍的格林-巴利综合征病程中,血流动力学指标的变化提示交感神经活动亢进状态。随着中枢儿茶酚胺能和5-羟色胺能活性增加,脑脊液神经递质代谢物水平升高。这些发现表明,观察到的交感神经活动亢进存在中枢结构的干扰。

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