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本院自1990年8月至1994年12月,应用高压氧(HBO)治疗脑出血病人68例,其中50岁以上63例;CT示血肿在基庆节区29例,内囊区12例,额、颞、顶叶11例,额叶10例,外囊区4例,基底节外囊区2例。所有病人均在入院24小时后至1周内,经神经内料常规治疗病情稳定后,开始HBO治疗。经5~40次HBO治疗,治愈15例,显效20例,总有效率98.5%。其机理主要是HBO可提高血氧分区,血氧含量及血氧弥散距高;使血管收缩,脑血流量减少,降低颅内压;改善微循环;促进侧枝循环的建立等。据此认为:早期、足量的应用HBO治疗该病是一种较有效的疗法。并指出:对无HBO治疗禁忌症者;轻度意识障碍者,发病6小时以上病情稳定者均可尽早行HBO治疗。在治疗中要注意防止出现不良反应和并发症;治疗方案:0.25μpe压力下吸纯氧60分钟,每日1次,至少两个疗程。
The hospital from August 1990 to December 1994, application of hyperbaric oxygen (HBO) in the treatment of 68 patients with cerebral hemorrhage, of which 63 cases over the age of 50; CT showed hematoma in the festival area in 29 cases, 12 cases of internal capsule, Frontal, temporal, parietal lobe in 11 cases, frontal lobe in 10 cases, outer capsule in 4 cases, basal ganglia in 2 cases. All patients within 24 hours after admission to 1 week, the routine treatment of nerve material in stable condition, began HBO treatment. After 5 to 40 HBO treatment, 15 cases were cured, markedly effective in 20 cases, the total effective rate was 98.5%. The main mechanism is that HBO can improve the oxygen partition, blood oxygen content and high oxygen diffusion distance; the vasoconstriction, decreased cerebral blood flow, reduce intracranial pressure; improve microcirculation; and promote the establishment of collateral circulation. Based on this view: early, adequate application of HBO in the treatment of the disease is a more effective therapy. And pointed out: no HBO treatment contraindications; mild disturbance of consciousness, more than 6 hours of onset of stable disease can be treated HBO as soon as possible. In the treatment should pay attention to prevent adverse reactions and complications; treatment options: 0.25μpe pressure suction oxygen 60 minutes a day, at least two courses.