| 缺血性脑卒中并发低钙血症机制及临床意义 |
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| 引用本文： | 夏强,李新立,刘群才.缺血性脑卒中并发低钙血症机制及临床意义[J].中国现代医学杂志,2002,12(20):23-24. |
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| 作者姓名： | 夏强 李新立 刘群才 |
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| 作者单位： | 河南驻马店解放军159医院神经内科,463008 |
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| 摘 要： | 目的 :探讨缺血性脑卒中并发低钙血症的机制及临床意义。方法 :回顾性分析 10 2 8例缺血性脑卒中临床及血清钙资料。结果 :10 2 8例中并发低钙血症者 14例 ,发生率为 1.36 % ,以病灶部位为基底节区者发生率最高 (6 .87% ,P <0 .0 5 ) ;发生低钙血症者神经精神症状以潜在型手足抽搦为主 (5 7.14 % ,P <0 .0 1) ;并发低钙血症者较血清钙正常者病死率为高 (P <0 .0 5 )。结论 :下丘脑 -垂体 -肾上腺皮质轴功能紊乱是引起缺血性脑卒中并发低钙血症的主要原因之一。
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| 关 键 词： | 缺血性脑卒中 低钙血症 基底节区 |
| 修稿时间： | 2001年9月24日 |
MECHANISM AND CLINICAL SIGNIFICANCE OF HYPOCALCEMIA IN ISCHEMIC CEREBRAL STROKE |
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| Xia Qiang,Li Xinli,Liu Quncai.MECHANISM AND CLINICAL SIGNIFICANCE OF HYPOCALCEMIA IN ISCHEMIC CEREBRAL STROKE[J].China Journal of Modern Medicine,2002,12(20):23-24. |
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| Authors: | Xia Qiang Li Xinli Liu Quncai |
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| Institution: | Xia Qiang,Li Xinli,Liu Quncai Department of Neurology,PLA 159 Hospital,Henan,Zhumadian,463008$$$$ |
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| Abstract: | Objective:To investigate the mechanism and clinical significance of hypocalcemia in ischemic cerebral stroke(ICS) patients. Method:The clinical symptom and serum calcium data of 1?028 cases were retrospectively analysed. Results:Fourteen of 1?028 cases were complicated by the hypocalcemia, the incidence of hypocalcemia was 1.36%. Hypocalcemia usually occured in brain ganglion (6.87%, P <0.05). The main nervous and mental symptom was the extremity latent tetany (57.14%, P <0.01). The mortality rate of patients with hypocalcemia was higher than that of people with normal serum calcium ( P <0.05). Conclusions:Dysfunction of hypothalamus-pituitarium-adrenocortical is one of the main factors causing hypocalcemia in ICS patients. |
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| Keywords: | Ischemic Cerebral Stroke Hypocalcemia Brain Ganglion |
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