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本组50例颈动脉系统闭塞患者,企图用脑血管造影术来肯定诊断。造影结果为:39例(78%)显示血管闭塞,9例(18%)正常,2例显示血管移位。根据观察可知,卒中发作和造影的时间越短,造影结果为正常者就越少。由于脑水肿,有两个病人血管移位,经开颅手术,发现脑组织软化。其中之一在术后死亡。我们认为对这类病人,不需采用外科措施,可用脱水剂治疗。
The group of 50 patients with carotid artery occlusion in an attempt to confirm the diagnosis with cerebral angiography. Angiographic results were as follows: 39 (78%) showed vascular occlusion, 9 (18%) were normal, and 2 showed vascular displacement. According to the observation, we can see that the shorter the time of stroke attack and imaging, the less normal imaging results are. Due to cerebral edema, there are two patients with vascular displacement, after craniotomy found brain tissue softening. One of them died after surgery. We believe that for these patients, no surgical interventions are needed and can be treated with a dehydrating agent.