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脑干损伤中单胺递质变化的意义
引用本文:房向阳,吕晓萍,杨艳红.脑干损伤中单胺递质变化的意义[J].中风与神经疾病杂志,2001,18(1):27-28.
作者姓名:房向阳  吕晓萍  杨艳红
作者单位:1. 吉林大学中日联谊医院神经外科,
2. 吉林大学中日联谊医院检验科,
3. 吉林省蛟河市医院检验科,
摘    要:目的 探讨脑组织在创伤、出血、缺血等病理情况下单胺递质的变化及其意义。方法 选取原发脑干损伤患者,伤后6-12h内采集患者肘静脉血及腰穿取脑脊液,之后1周内每天采集1次,1周后每周采集2次,到清醒或死亡时止,以Miller's的荧光分光法检测脑干损伤的患者血液及脑脊液中单胺递质-5-羟色胺(5-HT)、去甲肾上腺素(NE)、多巴胺(DA),分析脑干损伤程度与单胺递质浓度变化的关系。结果 急性颅脑创伤后,患者血浆和脑脊液中NE、DA含量明显升高,伤后病情逐渐好转者第3天达到高峰,然后逐渐下降至正常水平,死亡病例首次值明显升高,下降缓慢,但伤情极重者升高后迅速下降。结论 单胺递质浓度变化与脑干损伤程度呈正相关,与预后关系密切。

关 键 词:颅脑损伤  脑干  神经递质  单胺递质
文章编号:1003-2754(2001)01-0027-02
修稿时间:2000年5月31日

Changes of monoamine neurotransmitter in brain-stem injury
FANG Xiang-yang,LU Xiao-ping,YANG Yan-hong.Changes of monoamine neurotransmitter in brain-stem injury[J].Journal of Apoplexy and Nervous Diseases,2001,18(1):27-28.
Authors:FANG Xiang-yang  LU Xiao-ping  YANG Yan-hong
Abstract:Objective To study monoamine neurotransmitter obviously changes in cerebral damage、ischemia and hemorrhage. Methods We reported the changes by means of flurospectrophotometry after brain-stem injury on selected patients , and then analyzed the relationship between the changes and the prognosis. Results It showed that 5-HT、 NE、 DA increased apparently after brain-stem injury , then drop to the normal level as fast as reinvigoration . The exception to this rule is for severe brain-stem injury in which neurotransmitter drops fastly soon after increasing. Conclusion It suggests that we can predict the prognosis by the changes of monoamine neurotransmitter.
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