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1 临床资料 我科自1995年1月至2000年12月收治的急性脑血管病患者中,继发多脏器功能衰竭(MOF)58例,男46例,女12例,年龄61～89岁,平均74.5岁。发病2小时至5天做脑CT及磁共振检查,结合临床和各项实验室检查符合脑血管病和MOF的诊断。58例中,脑出血37例,其中颅内出血36例,蛛网膜下腔出血1例,出血量10～39m121例,40～60m18例,60ml以上8例;脑梗死21例,梗死面积直径10～40mm14例,50mm以上7例。意识障碍48例,肢体瘫痪45例,咳呛28例,脑疝12例。发病前患慢性病3～8种,平均每例2.7种,主要为高血压(47例)、冠心病(43例)、腔隙性脑梗死(39例)、慢性支气管炎(21例)和糖尿病(16例)等。治疗使用甘露醇、速尿、硝苯地平、利尿剂、抗生素、维持水电解质平衡、保护脑组织及对症治疗。
1 clinical data from our department from January 1995 to December 2000 admitted to patients with acute cerebrovascular disease, secondary multiple organ failure (MOF) 58 cases, 46 males and 12 females, aged 61 to 89 years , An average of 74.5 years old. The onset of 2 hours to 5 days to do brain CT and magnetic resonance imaging, combined with clinical and laboratory tests consistent with cerebrovascular disease and MOF diagnosis. Fifty-eight cases had intracerebral hemorrhage in 37 cases, including intracranial hemorrhage in 36 cases, subarachnoid hemorrhage in 1 case, bleeding amount of 10 ~ 39m121, 40 ~ 60m18, and 60ml in 8 cases. Cerebral infarction in 21 cases, infarction area diameter of 10 ~ 40mm14 cases, 50mm above 7 cases. 48 cases of disturbance of consciousness, 45 cases of limb paralysis, cough and choke in 28 cases, 12 cases of cerebral hernia. There are 3 to 8 chronic diseases before onset, with an average of 2.7 per case, including hypertension (47 cases), coronary heart disease (43 cases), lacunar infarction (39 cases), chronic bronchitis (21 cases) and diabetes (16 cases) and so on. Treatment of the use of mannitol, furosemide, nifedipine, diuretics, antibiotics, to maintain water and electrolyte balance, protection of brain tissue and symptomatic treatment.