论文部分内容阅读
脑死亡患者的丘脑下部一垂体功能终止了吗,这个问题与患者脑各部分的血流是否完全停止有密切的关系。作者等为明确这一点,以厚生省脑死亡研究班判定标准(1985)诊断为脑死亡二者为研究对象,对其丘脑下部、垂体功能进行了研究并已发表。本文欲将研究结果及其后来的某些病例一并进行概述。垂体前叶:26例脑死亡患者中,垂体前叶激素水平的基础值。几乎全部数值均在测定敏感度以上。在脑死亡判定阶段的血中各垂体前叶激素平均值标准差为:GH10.5±10.2ng/ml;ACTH25.4±16.8pg/ml;TSH1.95±2.06μu/ml;PRL4.6±6.7ng/ml;FSH27.3±36.2mlu/ml;LH21.8±22.8mlu/ml。这些在患者被判定为脑死亡20天后,血中仍然存在。
Is there a close relationship between the hypothalamus-pituitary function in brain-dead patients and the complete stop of blood flow in all parts of the brain? In order to clarify this point, the author studied both the hypothalamic and pituitary functions in the judgment criteria of the brain-death judgment group (1985) of the Ministry of Health and Welfare and published it. This article is intended to summarize the findings together with some of their subsequent cases. Anterior pituitary: Basal value of anterior pituitary hormone levels in 26 patients with brain-dead. Almost all of the values are above the assay’s sensitivity. The mean standard deviations of anterior pituitary hormones in blood at the stage of brain death judgment were: GH10.5 ± 10.2 ng / ml; ACTH25.4 ± 16.8 pg / ml; TSH1.95 ± 2.06 μu / ml; PRL4.6 ± 6.7 ng / ml; FSH 27.3 ± 36.2 mlu / ml; LH 21.8 ± 22.8 mlu / ml. These are still present in the blood after the patient is judged to have died of brain 20 days later.