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脑梗死急性期是指自发病至14天以内。随梗死病灶数目、大小、病程和个体差异程度不同,脑水肿的发生是不可缺少的一部分。适时合理治疗脑水肿是减轻组织损害、改善预后、提高生活质量的关键因素。临床以药物治疗为主,其中甘露醇因作用较强,性能稳定,疗效可靠,毒副作用小而最为常用。近年来对甘露醇的应用提出了许多异议。全面评价甘露醇作用有利于临床合理用药。
Acute cerebral infarction refers to the spontaneous onset to 14 days. With the number of infarcted lesions, size, duration and individual differences in the degree of brain edema is an indispensable part of the occurrence. Timely and reasonable treatment of brain edema is to reduce tissue damage, improve prognosis and improve the quality of life of the key factors. Clinical treatment with drugs, including mannitol because of the role of strong, stable, reliable, small side effects are most commonly used. In recent years, many applications of mannitol put forward many objections. A comprehensive evaluation of the role of mannitol is conducive to clinical rational use of drugs.