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本文介绍治疗急性中毒性脑水肿的几种主要措施:(1)输氧疗法强调必须给予较高浓度(40-60％)的氧吸入,以及采用高压氧治疗;(2)脑细胞营养药物,有利于促进和改善脑代谢;(3)低温与冬眠,宜采用头部低温,应做到及时、够深、持久;(4)肾上腺皮质激素,有助于防止中毒性脑水肿的发生和发展;(5)利尿和脱水剂在使用过程中应注意可能发生的血容量不足、低血压和电解质紊乱等副作用;(6)重症昏迷病人,在脑缺氧、脑水肿基本纠正的基础上可选择使用苏醒药物。
This article describes several key measures for the treatment of acute toxic brain edema: (1) Oxygen therapy emphasizes the need for oxygen inhalation at higher concentrations (40-60%) and hyperbaric oxygen therapy; (2) Conducive to the promotion and improvement of brain metabolism; (3) low temperature and hibernation, the head should adopt low temperature, should be timely, deep enough and lasting; (4) adrenal cortex hormones, help prevent the occurrence and development of toxic brain edema; (5) diuretic and dehydrating agent should pay attention to possible hypovolemia, hypotension and electrolyte disorders and other side effects during use; (6) patients with severe coma can be selectively used on the basis of the basic correction of cerebral hypoxia and cerebral edema Wake the drug.