Xanthochromia feem ntau yuav tsis tshwm sim kom txog thaum 2-4 teev tom qab ictus ictus Ua rau Horner syndrome muaj xws li cov hauv qab no: Lesion ntawm thawj neuron . Brainstem stroke lossis qog lossis syrinx ntawm preganglionic neuron- Hauv ib txoj kev tshawb fawb, 33% ntawm cov neeg mob uas muaj cov kab mob hlwb pom pom Horner syndrome. https://emedicine.medscape.com › article › 1220091-overview
Horner Syndrome: Txheej txheem cej luam, Anatomy, Pathphysiology
. Hauv ze li ntawm 100% ntawm cov neeg mob uas muaj SAH, xanthochromia tshwm sim 12 teev tom qab los ntshav thiab tseem nyob li ntawm 2 lub lis piam.
Nws siv sijhawm ntev npaum li cas rau xanthochromia los txhim kho?
Cov ntshav tshiab los ntawm kev raug mob kais yuav tsis tawm xanthochromia tshwj tsis yog nws tso cai sawv ntsug (18). Yog li ntawd, xanthochromic CSF thaum lub sij hawm ntawm LP qhia SAH; Txawm li cas los xij, xanthochromia tuaj yeem siv sijhawm ntev li 12 teev txhawm rau txhim kho (19), thiab ncua sijhawm LP rau qhov ntev tom qab ictus kom ntseeg tau tias nws qhov tsos yuav tsis tsim nyog.
Thaum twg koj kuaj xanthochromia?
Yog li ntawd, xanthochromia yog qhov zoo tshaj plaws txheeb xyuas 6 txog 12 teev tom qab pib los ntshav. Txawm hais tias CT scan hauv kev tshawb nrhiav kev xaiv rau subarachnoid hemorrhage, ze li 5% ntawm cov neeg mob yuav tsis muaj CT pov thawj ntawm hemorrhage hauv thawj 24 teev.
Ntev npaum li cas xanthochromia tom qab SAH?
Xanthochromia tuaj yeem mob siab rau ntev npaum li ob peb lub lis piam tom qab subarachnoidhemorrhage (SAH). Yog li, nws muaj kev kuaj mob ntau dua li kev suav tomography (CT) ntawm lub taub hau yam tsis muaj qhov sib txawv, tshwj xeeb tshaj yog tias SAH tshwm sim ntau dua 3-4 hnub ua ntej kev nthuav qhia.
Dab tsi yog qhov ua rau xanthochromia ntau tshaj plaws?
Supernatant Xim
Xanthochromia yog xim daj, txiv kab ntxwv, lossis liab liab ntawm CSF, feem ntau tshwm sim los ntawm cov lysis ntawm RBCs ua rau hemoglobin tawg rau oxyhemoglobin, methemoglobin, thiab bilirubin.
