| 朱家琦,唐慕菲,郐国虎.蛛网膜下腔出血引起的脑脊液红细胞增高与脑积水的关系[J].安徽医药,2019,23(5):917-918. |
| 蛛网膜下腔出血引起的脑脊液红细胞增高与脑积水的关系 |
| Relationship between hydrocephalus and red blood cells levels in cerebrospinal fluid on patients with aneurismal subarachnoid hemorrhage |
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| DOI：10.3969/j.issn.1009-6469.2019.05.020 |
| 中文关键词: 蛛网膜下腔出血 脑积水 脊椎穿刺 红细胞计数 脑脊髓液 脑脊液红细胞 |
| 英文关键词: Subarachnoid hemorrhage Hydrocephalus Spinal puncture Erythrocyte count Cerebro spinal fluid RBC in CSF |
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| 中文摘要: |
| 目的 探讨蛛网膜下腔出血引发的脑脊液中红细胞含量增高的程度与脑积水发生的关系。方法 收集2015年7月至2017年6月武汉科技大学附属天佑医院65例蛛网膜下腔出血(SAH)病人的完整临床资料,病人于术后第2天行腰椎穿刺留取脑脊液,并测定病人脑脊液中红细胞数目,根据红细胞的测定数目是否超过15 000×106/L将病人分为两组,第一组病人脑脊液中红细胞数目≥15 000×106/L,第二组病人脑脊液中红细胞数目＜15 000×106/L。观察2周内病人有无脑积水的发生。结果 两组病人一般资料比较差异无统计学意义(P＞0.05)。第一组病人脑积水发生率为65%,第二组病人脑积水发生率为36%,两组差异有统计学意义([χ2=5.206],P＝0.022)。结论 脑积水的发生率与脑脊液中红细胞的数目呈正相关。 |
| 英文摘要: |
| Objective To explore the increases of red blood cells levels in cerebrospinal fluid (CSF) in patients with subarachnoid hemorrhage (SAH) and study its relationship with hydrocephalus.Methods A total of 65 patients with confirmed subarachnoid hemorrhage,who were admitted to the Tianyou Hospital affiliated to Wuhan University of Science and Technology during the period from July 2015 to June 2017,were enrolled in this study.Lumbar puncture were performed and the cerebrospinal fluid specimens were collected on the following day after interventional embolization.The number of red blood cells in CSF of 65 patients with SAH diagnosed by clinical and accessory examinations was measured on the following day.The patients were divided into two groups according to the number of red blood cells.The red blood cells in first group was ≥15 000×106/L,and in the second group was ＜15 000×106/L.The relationship between the number of red blood cells and the occurrence of hydrocephalus after interventional embolization was observed in two weeks.The general information and clinical data between the two groups were compared and analyzed.Results The general data between two groups had no statistical significance (P＞0.05).The incidence of hydrocephalus (65%) in the first group was higher than the incidence of hydrocephalus (36%) in the second group.Difference between the two groups has statistical significance ([χ2=5.206],P＝0.022).Conclusion The incidence of hydrocephalus was positively associated with the number of red blood cells in CSF. |
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