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为探讨腔隙性脑梗塞病人血中凝集—纤溶活性改变,我们检测了31例腔隙性脑梗塞病人和20例脑动脉硬化病人以及34例健康对照者血液中 D—二聚体含量。结果显示腔隙性脑梗塞病人血中 D—二聚体含量显著高于脑动脉硬化组和对照组(P<0.01),提示在腔隙性脑梗塞发病过程中,病人血中存在凝血——纤溶活性变化。本文对腔隙性脑梗塞的发病机理作了讨论。
To investigate the changes of blood coagulation-fibrinolytic activity in patients with lacunar infarction, we measured the D-dimer levels in 31 lacunar patients and 20 patients with cerebral arteriosclerosis and 34 healthy controls. The results showed that the content of D-dimer in patients with lacunar infarction was significantly higher than those in cerebral arteriosclerosis and control groups (P <0.01), suggesting that in the pathogenesis of lacunar infarction, there is coagulation- Changes in fibrinolytic activity. This article discusses the pathogenesis of lacunar infarction.