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題 名 | 肝硬化合併顱內出血的研究:14個病例的資料分析=Study of Hepatic Cirrhosis Associated with Intracranial Hemorrhage: Of 14 Patients Data Analysis |
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作 者 | 鄭庚申; 盧敏吉; 謝慶良; 卓富讚; 曾旭平; 徐章虎; | 書刊名 | 中國醫藥學院雜誌 |
卷 期 | 8:4 1999.12[民88.12] |
頁 次 | 頁51-55 |
分類號 | 415.534 |
關鍵詞 | 肝硬化; 顱內出血; 大腦內出血; Hepatic cirrhosis; Intracranial hemorrhage; Intracerebral hemorrhage; |
語 文 | 中文(Chinese) |
中文摘要 | 肝硬化合併顱內出血已漸漸受到重視,最近幾年報告指出肝硬化導致顱內出血的 原因可能與末梢血液中紅血球數目增加、血小板數目的減少或凝血因子的障礙等有關,但肝 硬化合併顱內出血的主要原因至今仍然不明。我們總共收集本院住院患者中經病史、血中生 化及理學檢查、腹部超音波檢查、胃內視鏡檢查、及或肝組織切片證實為肝硬化,同時在頭 部電腦斷層攝影檢查確實有顱內出血的患者總共 14 例,我們分析這些患者的末梢血液中紅 血球和血小板的數目,凝血脢元時間( prothrombin time )、部分凝血活素時間 ( partial thromboplastin time ) 以及血液中氨的濃度,同時和 33 位同年齡層患有肝 硬化而沒有合併顱內出血患者做對照比較,我們的結果顯示肝硬化合併顱內出血的患者,它 們末梢血液中的血液中的血小板數目較低,而紅血球數目、prothrombin time、partial thromboplastin time 以及血液中氨的濃度兩組之間沒有差異。 我們的結論是肝硬化合併顱內出血的主要因素是血液中血小板數目的降低,肝硬化的病人發 生意識障礙時若血液中氨濃度屬於正常範圍,或與意識障礙程度有差距時不能排除顱內出血 的可能性。 |
英文摘要 | The association of Intracranial hemorrhage with cirrhosis has received increasing attention. It has been suggested that the causes of intracranial hemorrhage in these patients might be peripheral blood erythocytoses, a decrease in platelet counts. or coagulopathy. However, the etiology was still unclear. We selected 14 patients with intracranial hemorrhage and liver cirrhosis as determined by history, physical examination, abdominal sonography, gastric endoscopy, abdominal surgery, and body computer tomography. The intracranial hemorrhage was confirmed by brain computer tomography. We analyzed the blood erythocyte count, platelet count, prothrombin time, partial thromboplastin time, and blood amonia level, and compared them with those from 33 cirrhotic patients without intracranial hemorrhage. Our results showed that the platelet count was significant lower in patients with intracranial hemorrhage, and other laboratory data did not show significant differences. In conclusion, this study showed that a decrease in platelet count might be an important reason for intracranial hemorrhage in cirrhotic patients. Furthermore, if a patient with cirrhosis of liver developed mental confusion, the possibility of intracranial hemorrhage should be carefully evaluated. |
本系統中英文摘要資訊取自各篇刊載內容。