Rivera Nava C, Corona T, Estañol B, Castrejón E, Abundes Velasco A
Centro Médico Nacional Siglo XXI, México, D.F.
Rev Invest Clin. 1994 May-Jun;46(3):241-4.
We designed a prospective study in order to evaluate total urinary catecholamines in patients with subarachnoid hemorrhage (SAH) and correlate them with some prognostic factors and its complications. We studied 24 patients: 19 were normotensive, five had had a previous arterial hypertension that persisted during the SAH, and five developed the hypertension during the SAH. The latter showed cardiac complications with a more severely affected Hunt and Hess scale and a higher level of excretion of urinary catecholamines than the normotensive patients (p < 0.003). The cases with previous arterial hypertension that persisted during the SAH had more complications than the normotensive patients but in a lesser degree compared to chose who developed the hypertension during the SAH.
我们设计了一项前瞻性研究，以评估蛛网膜下腔出血（SAH）患者的尿总儿茶酚胺水平，并将其与一些预后因素及其并发症相关联。我们研究了24例患者：19例血压正常，5例既往有动脉高血压且在SAH期间持续存在，5例在SAH期间出现高血压。后者出现心脏并发症，Hunt和Hess分级受影响更严重，尿儿茶酚胺排泄水平高于血压正常的患者（p < 0.003）。在SAH期间既往有动脉高血压且持续存在的患者比血压正常的患者有更多并发症，但与在SAH期间出现高血压的患者相比程度较轻。
