血浆内皮素的检测对脑挫裂伤早期诊断的临床意义  

Clinical Significance of Plasma Endothelin in Early Diagnosis of Brain Contusion and Laceration

作　　者：林莉[1] 

机构地区：[1]广西医科大学第二附属医院,广西南宁530007

出　　处：《中外医学研究》2018年第5期81-82,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西急诊与医学救援人才小高地开放课题项目(项目编号:GXJZ201421)

摘　　要：目的:探索检测血浆内皮素对脑挫裂伤患者早期诊断的临床意义。方法:选取2015年2月-2016年6月笔者所在医院收治的104例急性颅脑外伤患者为研究对象,不同时间点检测血浆内皮素水平及观察CT影像学变化情况。结果:研究发现,患者就诊第1、3天血浆内皮素水平明显升高,之后血浆内皮素水平逐步下降,而CT影像学检查入院当时无脑挫裂伤表现,而入院第1、3天CT表现出不同程度损伤,患者受伤后不同时间点血浆内皮素对比具有统计学意义(P<0.05)。结论:血浆内皮素的实时检测与脑挫裂伤后患者的CT影响学表现成正比,对脑挫裂伤患者的早期诊断具有实际意义,适合临床推广。Objective：To explore the clinical significance of plasma endothelin in early diagnosis of patients with cerebral contusion and laceration.Method：From February 2015 to June 2016,104 patients with acute traumatic brain injury treated in our hospital were selected as the subjects.Plasma endothelin levels and CT imaging changes were measured at different time points.Result： the study found that 1, 3 days to the patient plasma endothelin levels increased significantly, after the plasma endothelin level gradually declined, while CT imaging examination to the hospital at that time no cerebral contusion, and hospital days 1, 3 CT showed different degree of damage, injury in patients with different time points after plasma endothelin compared statistically significant（P0.05）.Conclusion：The real-time detection of plasma endothelin is directly proportional to the CT influence of patients after brain contusion,and has practical significance for the early diagnosis of brain contusion patients, which is suitable for clinical promotion.

关 键 词：血浆内皮素 检测 脑挫裂伤 早期诊断 

分 类 号：R651.15[医药卫生—外科学]