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蛛网膜下腔出血患者脑血管痉挛、缺血性神经元损伤和再出血的机理探讨 被引量:1
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作者 郭沂涟 许继平 《山东医药》 CAS 北大核心 2001年第19期1-2,共2页
为研究蛛网膜下腔出血 (SAH)患者急性期血液流变学、血凝学及 D-二聚体的动态变化 ,探讨其在SAH后发生脑血管痉挛 (CVS)、迟发性缺血性神经元损伤 (DID)及再出血的意义 ,以指导治疗 ,动态检测了 30例SAH患者的血液流变学、血凝学及 D-... 为研究蛛网膜下腔出血 (SAH)患者急性期血液流变学、血凝学及 D-二聚体的动态变化 ,探讨其在SAH后发生脑血管痉挛 (CVS)、迟发性缺血性神经元损伤 (DID)及再出血的意义 ,以指导治疗 ,动态检测了 30例SAH患者的血液流变学、血凝学及 D-二聚体变化 ,并与 5 0例神经外科手术患者比较。结果 SAH患者发病 10天内全血粘度 (高、低切 )、血浆粘度和 D-二聚体持续增高 ,f蛋白原初始增高、1周后降低 ,与对照组比较有显著差异 (P<0 .0 1) ;SAH组凝血时间 (CT)、活化部分凝血活酶时间 (APTT)、血浆凝血酶原时间 (PPT)明显缩短 ,P<0 .0 1。认为 SAH患者急性期处于高粘、高凝、高纤溶状态 ,此为 SAH急性期应用扩容及抗纤溶药物预防 CVS。 展开更多
关键词 蛛网膜下腔出血 血液流变学 血凝学 D-二聚体 脑血管痉挛 缺血性神经损伤 再出血
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腹主动脉瘤腔内隔绝术后神经缺血性损伤 被引量:3
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作者 祝慧鹏 周艺琳 +3 位作者 郭劝民 王德华 景在平 冯翔 《浙江临床医学》 2007年第2期152-152,154,共2页
关键词 神经缺血性损伤 腔内隔绝术 腹主动脉瘤 ANEURYSM 二军大长海医院 AORTIC 血管外科 并发症
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浙江大学神经科学研究所神经精神疾病药理学研究组简介
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《浙江大学学报(医学版)》 CAS CSCD 北大核心 2009年第6期F0002-F0002,共1页
关键词 神经科学研究所 神经精神疾病 疾病药理学 浙江大学 缺血性神经损伤 神经药理学 组胺受体 慢性神经
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EFFECT OF VASOPRESSIN ON DELAYED NEURONALDAMAGE IN HIPPOCAMPUS FOLLOWING CEREBRALISCHEMIA AND REPERFUSION IN GERBILS
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作者 刘新峰 金泳清 陈光辉 《Chinese Medical Sciences Journal》 CAS CSCD 1996年第2期93-96,共4页
Mongolian gerbils were used as delayed neuronal damage (DNDi animal models. At the end of 15Abstract:Mongolian gerbils were used as delayed neuronal damage (DND)animal models. At the end of 15 minute cerebral ischemi... Mongolian gerbils were used as delayed neuronal damage (DNDi animal models. At the end of 15Abstract:Mongolian gerbils were used as delayed neuronal damage (DND)animal models. At the end of 15 minute cerebral ischemia and at various reperfusion time ranging from 1 to 96 hours, the content of water and arginine vasopressin (AVP) in the CA1 sector of hippocampus were measured by the specific gravity method and radioimmunoassay. Furthermore, we also examined the effect of intracerebroventricular (ICV) injection of AVP, AVP antiserum on calcium, Na+, K+-ATPase activrty in the CA1 sector after ischemia and 96 hour reperfusion. The results showed that AVP contents of CA1 sector of hippocampus during 6 to 96 hour recirculation, and the water content of CA1 sector during 24 to 96 hour were significantly and continuously increased. After ICV inJection of AVP, the water content and calcium in CA1 sector of hippocampus at cerebral ischemia and 96 hour recirculation further increased, and the Na+, K+- ATPase activity in CA1 sector was remarkably decreased as compared with that of control. While ICV injection of AVP antiserum, the water content and calcium in CA1 sector were significantly decreased as com pared with that of control. These suggested that AVP was involved in the pathophysiologic process of DND in hippocampus following cerebral ischemia and reperfusion. Its mechanism might be through the change of intracellular action mediated by specific AVP receptor to lead to Ca ions over-load of neuron and inhibit the Na+, K+- ATPase activity , thereby to exacerbate the DND in hippocampus. 展开更多
关键词 cerebal ischemia VASOPRESSIN HIPPOCAMPUS
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