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许多动物实验显示高血糖状态可加重脑缺血后的脑损害。此与临床资料相符,如急性卒中有高血糖症则死亡率高。急性卒中的高血糖状态可由既往的糖尿病所致,也可能是卒中后应激反应的结果。此二种血糖代谢改变与短期存活率的关系不同。为了解有糖尿病与无糖尿病患者急性卒中时,空腹血糖水平对其预后的影响并与临床的关系,作者选择了72例发病后48小时内入院的急性半球卒中患者。男49例,女23例,平均年龄68岁(38～91岁)。CT扫描18例为出血性,其余为缺血性。有11例为糖尿病患者(第1
Many animal experiments show that hyperglycemia can aggravate brain damage after cerebral ischemia. This is consistent with the clinical data, such as acute stroke with hyperglycemia, the mortality rate is high. The hyperglycemic state of acute stroke may be caused by previous diabetes or may be the result of a post-stroke stress response. The relationship between these two changes in glucose metabolism and short-term survival is different. To understand the impact of fasting plasma glucose on prognosis in patients with and without diabetes mellitus and its clinical relevance, we selected 72 patients with acute hemisphere stroke admitted within 48 hours of onset. There were 49 males and 23 females, with an average age of 68 years (38-91 years). 18 cases of CT scan hemorrhagic, the rest is ischemic. Eleven patients with diabetes (No.