[早产儿和足月婴儿脑出血和神经元特异性烯醇化酶的临床研究]。

Padiatrie und Grenzgebiete Pub Date : 1993-01-01
H T Abel, L Von Rohden, W Lamme, C Korb, J Zinsmeyer, H Köditz, J Gross
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引用次数: 0

摘要

在一项前瞻性研究中,通过脑超声扫描对199名高危新生儿进行了检查,随后确定了诊断出的脑内事件对神经元特异性烯醇化酶(NSE)浓度的影响。NSE可以作为脑内损伤的一个有效指标。NSE浓度升高与II型脑出血之间的显著关系仅在NSE-1(从脐带血或从生命的第一天或第二天的血液中测定)中发现。颅内囊性重建、脑室破坏和增大也有同样的关系。NSE-1对脑出血的诊断试验不证实,效度为57.4%,具有较高的预后价值。直到nse -1水平达到16.0微克/升时,才计算出100%阳性检测的预测值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Intracerebral hemorrhage and neuron-specific enolase in premature and full-term infants--a clinical study].

In a prospective study 199 risk newborn infants were examined by means of cerebral ultrasound scanning and after this the influence of diagnosed intracerebral events on the concentration of neuron-specific enolase (NSE) was determined. The NSE may be valid as an indicator of intracerebral damage. A significant relationship between increased concentration of NSE and intracerebral haemorrhage of type II could be found only for the NSE-1 (determination from cordblood or from blood of the first or second day of life). The same relationship results for intracranial cystic rebuildings, destructions and enlargements of ventricles. The diagnostic tests of NSE-1 for intracerebral haemorrhages don't prove with a validity of 57.4% high prognostic value. Not until a NSE-1-level of 16.0 micrograms/l a predictive value of the positive test of 100% was calculated.

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