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目的:探讨P选择素在急性脑梗死中的变化。方法:采用流式细胞术对43例脑梗死患者发病1~3天及发病后10~14天进行P选择素的研究。结果:(1)急性脑梗死患者发病后1~3天内其血小板表面P选择素表达量较对照组显著增高(P<0.01)。(2)发病后10~14天内的血小板表面P选择素表达量较对照组增高(P<0.01)。(3)发病后10~14天的P选择素表达量较发病后1~3天显著下降(P<0.01)。结论:P选择素在急性脑梗死的发病过程中具有重要作用。
Objective: To investigate the changes of P-selectin in acute cerebral infarction. Methods: Flow cytometry was used to study P-selectin in 43 patients with cerebral infarction for 1-3 days after onset and 10-14 days after onset. Results: (1) The expression of P-selectin on platelet surface in patients with acute cerebral infarction was significantly higher than that in the control group (P <0.01) within 1 to 3 days after onset. (2) The expression of P-selectin on platelet surface increased from 10 to 14 days after onset (P <0.01). (3) The expression of P-selectin in 10 to 14 days after onset was significantly lower than that in 1 to 3 days after onset (P <0.01). Conclusion: P-selectin plays an important role in the pathogenesis of acute cerebral infarction.