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作者采用高特异和敏感的放射免疫方法测定了42名蛛网膜下腔出血患者血浆和脑脊液中的精氨酸加压素.所有病例均经腰穿证实,并作了脑血管造影.32例显示动脉异常,其中14例为前交通动脉动脉瘤,12例为后交通动脉动脉瘤,2例为大脑中动脉动脉瘤,3例为多个动脉瘤,1例顶叶血管瘤.动脉显示正常的10例中,一例有颞叶广泛血肿.42例患者中,有20例意识完全清楚,16例呈嗜睡状态,6例昏迷.
The authors determined the arginine vasopressin levels in plasma and cerebrospinal fluid in 42 patients with subarachnoid hemorrhage using a highly specific and sensitive radioimmunoassay. All patients were confirmed by lumbar puncture and cerebrovascular angiography was performed. Arterial abnormalities included 14 cases of anterior communicating artery aneurysms, 12 cases of posterior communicating artery aneurysms, 2 cases of middle cerebral artery aneurysms, 3 cases of multiple aneurysms and 1 case of parietal hemangiomas. The arteries showed normal One of the 10 patients had extensive temporal hematoma, of which 20 were completely aware of the 42 patients, 16 were lethargic, and 6 were unconscious.