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对于完全性卒中目前尚无特殊疗法。过去文献中所倡导的许多治疗方法如CO_2吸入,血管扩张剂,过度换气,诱发高血压以及星状神经节封闭等,今天在缺血性梗塞中已很少采用。而50年代后期提出的皮质类固醇疗法,却在许多医疗中心继续作为治疗常规。本文目的在于再次探讨在卒中病人中使用皮质类固醇的合理性,并对其进行评价。缺血性脑水肿的性质1967年,Klatyo描述在不同实验情况下和人的不同病理过程中可发生两种类型的脑水肿,即血管源性水肿和细胞毒性水肿,“血管源性水肿”发生机理是由于早期的“血—脑屏
There is currently no specific treatment for complete stroke. Many of the therapies pioneered in the past, such as CO 2 inhalation, vasodilators, hyperventilation, hypertension and stellate ganglion closure, are seldom used in ischemic infarction today. The corticosteroid therapies proposed in the late 1950s continued to be routinely used in many medical centers. This article aims to revisit the rationality of using corticosteroids in stroke patients and evaluate them. The Nature of Ischemic Brain Edema Klatyo described in 1967 that two types of brain edema, vasogenic edema and cytotoxic edema, “vasogenic edema”, can occur in different experimental conditions and in different pathologies in humans The mechanism is due to the early "blood - brain screen