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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, 84 cases of middle cerebral artery occlusion in the acute stage of CT, treatment and etiology were discussed. Found that the main cause of the disease is embolism, embolism is not only the source of the heart, arteriosclerosis plaque off caused by embolism can not be ignored. Acute dehydration of the disease mainly to take 10% compound glycerol static point, the drug without rebound phenomenon, electrolyte imbalance and kidney damage, is the ideal drug for dehydration. Open flap decompression is to save the disease brain edema, one of the effective means of hernia, but must grasp the timing of surgery.