急性脑出血患者血氨增高相关因素的临床分析  

Clinical analysis of relative factors of high blood ammonia in the patients with acute cerebral hemorrhage

作　　者：李晓东[1] 

机构地区：[1]锦州市中心医院SICU,辽宁121000

出　　处：《中国急救医学》2007年第1期78-80,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的分析研究急性脑出血患者血氨浓度增高的相关因素。方法本组全部60例患者,男性42例,女性18例。测定入科24h内血浆氨浓度,以及对症治疗1周内患者血浆氨浓度变化。结果有45例(75%)存在不同程度血氨增高。其中40例血氨增高患者(89%)经降血氨治疗1周后,血氨浓度降至正常。结论急性脑出血患者血氨浓度增高出现较早,且与应激性上消化道出血、休克、缺氧、感染、手术、镇静药使用、大量脱水利尿与离子紊乱特别伴有低钾血症等因素有关,也可能是上述综合因素所致。定期检测血氨、降血氨,对临床治疗有积极意义。Objective To analyze and investigate the relative factors of high blood ammonia in the patients with acute cerebral hemorrhage. Methods All 60 patients （42 males and 18 females） were orderd to have a test of ammonia concentration in plasma within 24 hours after admission to surgical intensive care unit and within a week after symptomatic treatment. Results 45 patients （75%） showed different degrees of high ammonia concentration in plasma. After the symptomatic treatment, the high blood ammonia concentration of 40 patients （89%） dropped to normal level. Conclusion High blood ammonia concentration occurs earlier in the patients with acute cerebral hemorrhage and correlates with stress upper gastrointestinal bleeding, shock and hypoxia, infection, operation, using sedatives, a great quantity of dehydration and diuretics induced ion disorders, especially hypokalemia etc. It maybe result from above - mentioned comprehensive factors . To test and control blood ammonia on time has active significance for clinical treatment.

关 键 词：急性脑出血 血浆氨浓度 

分 类 号：R743.3[医药卫生—神经病学与精神病学]