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[脑脊液氧合血红蛋白及胆红素测定在脑血管疾病中的诊断价值]

[Diagnostic value of cerebrospinal fluid oxyhemoglobin and bilirubin determination in cerebrovascular diseases].

作者信息

Dobosz I, Rafalowska J, Tomankiewicz Z, Mazurczak M

出版信息

Neurol Neurochir Pol. 1976 Sep-Oct;10(5):627-31.

PMID:980201
Abstract

The levels of oxyhaemoglobin and bilirubin were determined in the cerebrospinal fluid in 46 cases of subarachnoideal haemorrhage and cerebromeningeal haemorrhage, 18 cases of haemorrhagic infarction. Autopsy confirmation was available in 18 cases of haemorrhages and 18 cases of infarction. Determination of oxyhaemoglobin and bilirubin levels in the cerebrospinal fluid is not sufficient as a reliable basis for differentiating between cerebral haemorrhage and haemorrhagic infarction. High values of oxyhaemoglobin and bilirubin seem to indicate bleeding into the cerebrospinal fluid spaces. Assessment of oxyhaemoglobin level and cerebrospinal fluid sediment suggests in some cases the diagnosis.

摘要

对46例蛛网膜下腔出血和脑脑膜出血、18例出血性梗死患者的脑脊液中的氧合血红蛋白和胆红素水平进行了测定。18例出血和18例梗死患者有尸检确诊依据。脑脊液中氧合血红蛋白和胆红素水平的测定不足以作为区分脑出血和出血性梗死的可靠依据。氧合血红蛋白和胆红素的高值似乎表明有血液进入脑脊液间隙。在某些情况下,氧合血红蛋白水平和脑脊液沉淀物的评估有助于诊断。

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