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本文报告一例脑梗塞的患者,于发病后立即采用升血压疗法获得显著疗效。67岁男性,53岁起患高血压,63岁患糖尿病,近2年来有多次反复的一过性脑缺血发作。此次因突起语言困难10天未见好转而住院。住院后体查:血压138/94毫米汞柱,神清,右面及右上下肢部份瘫痪但能步行,脑脊液无色透明,压力170毫米汞柱,脑血管造影为左内颈动脉起始部闭塞。于住院后第12日采用脑动静脉氧比差法对患者的脑循环自动调节功能进行检查:患者平卧时头部有效的灌注血压为122毫米汞柱;脑血流量为47.6毫升/100克脑/分钟。使头端抬高30度以降低脑的有效灌注压,此时
This article reports a case of cerebral infarction patients, immediately after the onset of the use of antihypertensive therapy to obtain a significant effect. 67-year-old man, suffering from hypertension at age 53, diabetes at age 63, and repeated episodes of transient ischemic attacks in the past 2 years. The sudden onset of language difficulties ten days without improvement and hospitalization. Post-hospital physical examination: blood pressure 138/94 mm Hg, Shen Qing, right and left upper limb paralysis but can walk, colorless and transparent cerebrospinal fluid, pressure 170 mm Hg, cerebral angiography for the left internal carotid artery occlusion . On the 12th day after hospitalization, cerebral cerebral arterial venous oxygen ratio was used to check the patient’s cerebral circulation autoregulation function: the patient’s supine effective head blood perfusion was 122 mmHg; the cerebral blood flow was 47.6 ml / 100 g Brain / minute. Raise the head 30 degrees to reduce the effective brain perfusion pressure, this time