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出血性脑卒中出血灶IL-1、IL-6、IL-8动态变化的临床观察
引用本文:向强,文亮,刘明华,李昆. 出血性脑卒中出血灶IL-1、IL-6、IL-8动态变化的临床观察[J]. 第三军医大学学报, 2004, 26(14): 1288-1290
作者姓名:向强  文亮  刘明华  李昆
作者单位:第三军医大学西南医院ICU,重庆,400038;第三军医大学西南医院,全军肝胆外科研究所,重庆,400038
摘    要:目的动态观察出血性脑卒中血肿灶IL-1、IL-6、IL-8的变化及意义.方法以1999年1月至2002年10月在我科行微创颅内血肿清除术的80例中、重度(出血量>30ml)高血压脑出血患者为研究对象,连续监测血肿冲洗液中IL-1、IL-6、IL-8的动态变化.结果高血压脑出血发病6~12 h血肿冲洗液中即已检测出IL-1、IL-6、IL-8,在出血急性期呈现不同变化趋势.结论高血压脑出血后IL-1、IL-6、IL-8等炎性细胞因子参与了其后的病理过程,其水平的变化与疾病的转归有关.

关 键 词:脑出血  微创术  白介素
文章编号:1000-5404(2004)14-1288-03
修稿时间:2003-01-13

Dynamic changes of inflammatory cytokines in hematoma fluid of intracerebral hemorrhage
XIANG Qiang ,WEN Liang ,LIU Ming hua ,LI Kun. Dynamic changes of inflammatory cytokines in hematoma fluid of intracerebral hemorrhage[J]. Acta Academiae Medicinae Militaris Tertiae, 2004, 26(14): 1288-1290
Authors:XIANG Qiang   WEN Liang   LIU Ming hua   LI Kun
Affiliation:XIANG Qiang 1,WEN Liang 1,LIU Ming hua 1,LI Kun 2
Abstract:Objective To investigate the dynamic changes of inflammatory cytokines IL 1, IL 6, and IL 8 in hematoma after hypertensive cerebral hemorrhage and the clinical significance. Methods Data of hematoma fluid from 80 patients with severe hypertensive cerebral hemorrhage (blood loss >30 ml) undergoing minimally invasive evacuation of intracranial hematoma from January 1999 to October 2002 in our department were analyzed retrospectively. The changes of IL 1, IL 6, and IL 8 in hematoma fluid were observed continuously. The content of IL 1 was determined by radioimmunassay and IL 6, IL 8 by ELISA methed. Results IL 1, IL 6, and IL 8 were observed at 6 12 h after hypertensive cerebral hemorrhage, and showed different changes in acute stage. Conclusion Inflammatory cytokines are involved in the pathological process of cerebral hemorrhage.
Keywords:cerebral hemorrhage  minimally invasive surgery  cytokine
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