摘要
目的 :观察复方丹参早期治疗破入脑室脑出血是否引起再出血。方法 :选择 46例经头颅 CT证实的破入脑室脑出血患者 ,摒弃传统止血或中性治疗方法 ,于发病当天开始静脉点滴复方丹参 (CSM) 2 0 m L/ d,持续 14d～ 42 d,并于第 14天、2 8天、42天复查头颅 CT。结果 :无 1例发生再出血。结论 :早期静脉应用 CSM治疗破入脑室脑出血是安全的。其机制可能为 CSM能早期改善血肿周围及同侧和对侧远隔区域的脑组织局部脑血流量 (r CBF)下降 ,减轻继发蛛网膜下腔出血 (SAH)加重的脑缺血性损害 ,加快血肿吸收 ,预防脑水肿。
Objective:Study weather occurred secondary hemorrhage about brain hemorrhage who break into ventrides of brain be treated with CSM early.Methods:46 Patients with brain hemorrhage who break into ventrides of brain conformed by CT were treated with CSM from beginning of hemorrhage for 14 days to 42 days,20 mL/day.Result:None of all patients occurred secondary hemorrhage.Conclusion:This method is safe in treatment about brain hemorrhage which break into ventrides of brain.Perhaps CSM could improve the reducing of rCBF about bleeding part one side and opposite one,reduce ischemic injury caused by subsequent SAH,make the absorbing of hemorrhage fasten,prevent cerebrat edcma.
出处
《山西临床医药》
2000年第10期740-742,共3页
Shanxi Clinical Medicine
