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急性脑血管病患者不仅有严重的神经系统损害症状,而且可出现一系列的内分泌代谢变化,以下丘脑-垂体-肾上腺皮质轴功能变化尤为明显。笔者对我院1997年3月～1998年8月收治的66例急性脑血管病患者进行血清促肾上腺皮质激素(ACTH)及皮质醇测定,同时观察上述指标与出血量、梗死面积的关系,结果报告如下。 1 对象与方法 1.1 对象 病例选择:66例均为住院病人,首次发病,于48小时以内就诊。全部经CT或MR明确诊断。均无内分泌病史,未曾应用过皮质醇类的药物,无肿瘤、严重感染及肝肾疾病。分组:(1)疾病组:①脑出血30例,男20例、女10例,年龄36～78岁,平均59.2岁。出血部位:壳核18例,丘脑5
Patients with acute cerebrovascular disease not only have severe symptoms of nervous system damage, but also a series of endocrine and metabolic changes, especially in the hypothalamus-pituitary-adrenal axis. The author of our hospital from March 1997 to August 1998 were treated 66 patients with acute cerebrovascular disease serum adrenocorticotrophic hormone (ACTH) and cortisol determination, and observed the above indicators and bleeding, infarct size, the results of The report is as follows. 1 Subjects and methods 1.1 Object Case Selection: 66 cases were hospitalized patients, the first incidence, within 48 hours of treatment. All confirmed by CT or MR. No history of endocrine, cortisol drugs have not been used, no tumor, severe infection and liver and kidney disease. Group: (1) disease group: ① 30 cases of cerebral hemorrhage, 20 males and 10 females, aged 36 to 78 years, mean 59.2 years old. Bleeding site: 18 cases of putamen, thalamus 5