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我院自1997年到1998年共收治急性脑梗死病人40例,均经脑CT证实,分别于发病3~72小时入院。男22例,女18例;60岁以上30例,占75%,40~60岁8例,占30%,40岁以下2例,占5%。入院时病灶对侧肢体肌力0~Ⅲ度不等,部分病人有不同程度的失语,有2例病人于入院的第2日开始症状逐渐加重,病灶对侧肢体完全瘫痪。 治疗方法及结果 病人均用5%葡萄糖液250ml加20ml复方丹参静脉滴注每日1次,连用14天。梗死面积较广、症状较重的加用20%甘露醇125ml静脉滴注,每日2次,一般用4~5天,症状缓解停
Our hospital from 1997 to 1998 were treated 40 cases of acute cerebral infarction patients were confirmed by brain CT, were admitted to hospital for 3 to 72 hours. There were 22 males and 18 females. Thirty cases were over 60 years old, accounting for 75%, 8 cases 40-60 years old, accounting for 30% and 2 cases under 40 years old, accounting for 5%. On admission, contralateral limb muscle strength ranged from 0 ° to Ⅲ ° and some patients had varying degrees of aphasia. Two patients started to gradually worsen symptoms on the 2nd day after admission, and the paralyzed limbs were completely paralyzed. Treatment and results of patients with 5% glucose solution 250ml plus 20ml compound Salvia intravenous infusion once daily for 14 days. Infarct area is wider, more severe symptoms plus 20% mannitol 125ml intravenous infusion, 2 times a day, usually with 4 to 5 days, relieve symptoms