颅脑术后消化道出血与血浆儿茶酚胺浓度关系的临床观察  

Clinical Study of Relationship Between Blasma Catecholamine Level and Gastrointestinal Bleeding After Craniocerebral Operation

作　　者：余英教 朱立英 杨莉梅 黄细富 白奕斌 高国栋[2] 潘宏学[2] 

机构地区：[1]广东韶关市第一人民医院神经外科,512000 [2]第四军医大学唐都医院神经外科

出　　处：《神经疾病与精神卫生》2003年第4期278-280,共3页Journal of Neuroscience and Mental Health

摘　　要：目的 探讨颅脑术后消化道出血与血浆儿茶酚胺(catecholamine CA)浓度的关系。方法 动态观察8例(A组)颅脑术后并发消化道出血病人血浆肾上腺素(epinephrine E)和去甲肾上腺素(norepinephrine NE)浓度的变化,并与对照组11例(B组)颅脑术后无并发症者进行比较。结果 两组病人术后E和NE均较术前明显升高。A组升高更显著、维持时间长,1例病人(术后26天死亡)持续升高。结论 术后血浆CA水平升高与术后并发消化道出血关系密切,提示二者存在一定的因果关系。Objective To study the relationship between plasma catecholamine (CA) level and gastrointestinal bleeding after craniocerebral operation. Methods The charges of plasma epinephrine (E) and norepinephrine (NE) level in 8 patients (group A) with gastrointestinal bleeding and 11 patients (group B) without complications following craniocerebral operation were dynamic observed. The differ-entitation charges of plasma E and NE level between group A and group B were compared. Results After craniocerebral operation, the plasma E and NE level were rising in all patients, and rising larger range and lasting longer time in group A than that in group B. One of group A, who died 26 days after operation, having risen plasma E and NE level was not dropped still 14 days after operation. Conclusions Gastrointestinal bleeding following craniocerebral operation was correlated with high plasma CA level, and both may be a causality association.

关 键 词：颅脑术后 消化道出血 血浆 儿茶酚胺 浓度 临床观察 

分 类 号：R651.1[医药卫生—外科学]