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我科从1987年4月——1989年8月收治40例脑血栓急性期病人,其中20例为初期用甘露醇治疗,其治疗结果较之常规治疗组有较明显的疗效。本文就脑血栓急性期何时采用甘露醇和血管扩张药的问题进行了初步探讨,报告如下: 临床资料本组40例,分两组:治疗组发病后前5天用20%甘露醇治疗20例;对照组仅用血管扩张药治疗20例。治疗组男19例,女1例,发病年龄50—72岁,CT证实梗塞灶最大面积为3.0×2.5cm~2,其中6例为多发灶,发病时血压高者10例,有意识障碍者3例,瘫肢上、下肢肌力0—3级者12例,4级者
Our department from April 1987 - August 1989 treated 40 patients with acute cerebral thrombosis, of which 20 were initially treated with mannitol, the treatment of more than the conventional treatment group had a more significant effect. This article on the acute phase of cerebral thrombosis when the use of mannitol and vasodilator drugs were initially discussed, the report is as follows: Clinical data of the 40 cases, divided into two groups: the treatment group before the onset of 5 days with 20% mannitol treatment of 20 cases ; Control group only vasodilator treatment of 20 cases. The treatment group, 19 males and 1 female, the age of onset of 50-72 years old, CT confirmed that the largest area of infarction was 3.0 × 2.5cm ~ 2, of which 6 cases were multiple lesions, the onset of hypertension in 10 cases, those with impaired consciousness 3 Cases, paralyzed limbs, lower limb muscle strength 0-3 grade in 12 cases, 4 grade