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自1989年8月—1990年7月采用广州医疗器械厂生产的WFB—Ⅵ型体外反搏装置治疗老年血管性痴呆36例。除3例严重心律失常中断治疗外,其余33例取得了满意疗效。一、临床资料 33例中,27例为住院病人,6例为门诊病人;男25例,平均年龄64岁,女8例,平均年龄69岁。23例患高血压,15例有高血脂症。一过性脑缺血发作史18例,脑梗塞12例。脑血流图全部异常。痴呆主要表现:近记忆力障碍,分析、判断、综合能力下降,注意力不集中。采用长谷川方法测定智力,得分在31分以上为正常,30.5—22.0分为轻度低下,21.5—10.5分为中度低下,10.0分以下为重度低下。本组33例,轻度低下17例,中度低下11例,重度低下5例。病
From August 1989 to July 1990, 36 cases of senile vascular dementia were treated with WFB-Ⅵ external pacing device manufactured by Guangzhou Medical Instrument Factory. In addition to 3 cases of severe arrhythmia interrupt treatment, the remaining 33 cases achieved satisfactory results. First, the clinical data of 33 cases, 27 cases of hospitalized patients, 6 outpatients; 25 males, mean age 64 years, 8 females, mean age 69 years. 23 cases of hypertension, 15 cases of hyperlipidemia. A history of transient ischemic attack in 18 cases, 12 cases of cerebral infarction. All cerebral blood flow abnormalities. The main manifestations of dementia: near memory disorders, analysis, judgment, decreased comprehensive ability, lack of concentration. Using Hasegawa method of determination of intelligence, scores above 31 points for the normal, 30.5-22.0 points mildly low, 21.5-10.5 points for the moderate low, 10.0 points for the following severe low. The group of 33 cases, 17 cases of mild low, moderate low in 11 cases, severe low in 5 cases. disease