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大脑中动脉主干梗塞的临床(附84例报告) 被引量:6

Clinical study on the occlusion of middle cerebral artery
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摘要 本文对84例大脑中动脉主干梗塞急性期的CT、治疗以及病因进行了探讨。发现该病的主要病因是栓塞,栓子来源不仅仅是心脏,动脉硬化斑块脱落造成的栓塞也是不可忽视的。该病的急性期脱水治疗主要采取10%复方甘油静点,该药无反跳现象、电解质紊乱及肾脏损伤,是脱水治疗的理想药物。开瓣减压术是抢救该病脑水肿、脑疝的有效手段之一,但必须掌握好手术时机。 In this paper, we studied CT findings and treatment in acute period of 84 cases of the occlusion of the main stem of middle cerebral artery (MCA), and etiological study was also carried out . The results showed that the main cause was embolism, the emboli originated not only from heart, but also the plaque of atherosclerosis should not be neglected. We treated the patients mainly by using intravenous instillation of 10% compound injection of glycerol. This drug does not induce rebound phenomenon, electrolyte disorder and renal damage. Depression craniotomy is one of most effective ways for rescuing the patients with brain edema and cerebral hernia, but the operation time must be better sellected.
作者 刘群
出处 《中风与神经疾病杂志》 CAS CSCD 北大核心 1992年第1期9-10,16,共3页 Journal of Apoplexy and Nervous Diseases
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