期刊文献+

脑出血后脑水肿药物治疗现状与展望 被引量:5

Medical treatment in cerebral edema after intracerebral hemorrhage:current and prospect
暂未订购
导出
摘要 脑水肿是脑出血(ICH)后重要的继发性脑损伤,是病情恶化和死亡的主要原因,血凝块毒性作用是脑水肿的主要机制之一。本文介绍了常用的抗脑水肿药物包括甘露醇、甘油、高渗盐水、呋塞米、白蛋白、糖皮质激素、β-七叶皂甙钠、抑肽酶等,并展望了有希望用于ICH治疗的药物如依达拉奉、去铁敏、阿加曲班、塞来昔布。 The brain edema is a secondary cerebral injury in intracerebral hemorrhage(ICH) and one of the main causes of deterioration and death. The toxic effect of blood clots is involved in the formation of brain edema. The article reviews the commonly used antiedema drugs including mannitol, glycerol, hypertonic saline, furosemide, albumin, glucocorticoids, sodium aescinate and aprotinin, and introduces such hopeful drugs as edaravone, deferoxamine, argatroban and celecoxib in the treatment of ICH.
作者 曲方 周中和
出处 《中国实用内科杂志》 CAS CSCD 北大核心 2010年第6期518-520,共3页 Chinese Journal of Practical Internal Medicine
关键词 脑出血 抗脑水肿 药物治疗 intracerebral hemorrhage brain edema medical treatment
  • 相关文献

参考文献13

  • 1曲方,周中和.高血压性脑出血能够从止血疗法中获益吗?[J].中国实用内科杂志,2007,27(10):803-805. 被引量:5
  • 2陈新,周中和,曲方.高血压性脑出血早期强化降血压是否有益[J].中国实用内科杂志,2008,28(10):902-904. 被引量:6
  • 3Carhuapoma JR, Barrett R J, Keyl PM, et al. Stereotactic aspiration- thrombolysis of intracerebral hemorrhage and its impact on perihematoma brain edema[ J ]. Neurocrit Care,2008,8:322 - 329.
  • 4Thiex R, Tsirka SE. Brain edema after intracerebral hemorrhage: mechanisms, treatment options, management strategies, and operative indications [ J ]. Neurosurg Focus,2007,22 (5) : E6.
  • 5Papangelou A, Lewin JJ, Mirski MA, et al. Pharmacologic management of brain edema [J]. Curr Treat Options Neurol, 2009,11: 64 -73.
  • 6Misra UK, Kalita J, Ranjan P, et al. Mannitol in intracerebral hemorrhage: A randomized controlled study [ J ]. J Neurol Sci, 2005, 234:41 - 45.
  • 7谭戈,周冀英,毛元潮,刘博文,廖绮.脑出血患者急性期甘露醇每日使用量的临床研究[J].中华医学杂志,2008,88(13):889-891. 被引量:18
  • 8Yu YL,Kumana CR,Lauder IJ,et al. Treatment of acute cerebral haemorrhage with intravenous glycerol. A double-blind lacebocon-trolled, randomised trial[J]. Stroke, 1992,23:967 -971.
  • 9Kempski O. Hypertonic saline and stroke [ J ]. Crit Care Med, 2005,33:259 - 260.
  • 10Feigin VL,Anderson NE ,Rinkel GJE ,et al. Corticosteroids in patients with hemorrhagic stroke [ J ]. Stroke, 2006, 37 : 1344 - 1344.

二级参考文献36

  • 1李维平,黄国栋,王建中,高永中.重型颅脑损伤患者甘露醇、速尿和白蛋白降颅压作用的临床观察[J].中华神经医学杂志,2005,4(4):377-379. 被引量:28
  • 2谭戈,周冀英.闪光视觉诱发电位监测甘露醇降颅压效果的临床研究[J].中华神经科杂志,2006,39(4):255-257. 被引量:11
  • 3Ganllo T, Nagata J, Nonomura K, et al. New approaches in the treatment of hypertensive intracerebral hemorrhage. Stroke, 1993, 24 : 96-100.
  • 4Misra UK, Kalita J, Ranjan P, et al. Mannitol in intracerebral hemorrhage: a randomized controlled study. J Neurol Sci, 2005, 234: 41-45.
  • 5Knapp JM. Hyperosmolar therapy in the treatment of severe head injury in children: mannitol and hypertonic saline. AACN Clin Issues, 2005, 16: 199-211.
  • 6Doi K, Ogawa N, Suzuki E, et al. Mannitol-induced acute renal failure. Am J Med, 2003, 115: 593-594.
  • 7Maruishi M, Shima T, Okada Y, et al. Involvement of fluctuating high blood pressure in the enlargement of spontaneous intracerebral hematoma. Nrurol Med Chir, 2001, 41 : 300-305.
  • 8Tan G, Zhou J, Yuan D, et al. Formula for use of mannitol in patients with intracerebral hemorrhage and high intracranial pressure. Clin Drug Invesfig, 2008, 28 : 81-87.
  • 9Bereczki D, Mihalka L, Szatmari S, et al. Mannitol use in acute stroke: case fatality at 30 days and 1 year. Stroke, 2003, 34: 1730-1735.
  • 10Nau R. Osmotherapy for elevated intracranial pressure: a critical reappraisal. Clin Phannaeokinet, 2000, 38 : 23-40.

共引文献26

同被引文献24

引证文献5

二级引证文献13

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部