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一、观察对象与治疗方法观察对象:1976年1月～1980年底,我科共收治脑梗塞300例,凡具备卒中特点,发病在3周以内,腰穿脑脊液无血(或血性脑脊液确能证明为腰穿外伤所致者),可除外暂时性脑缺血发作,符合脑梗塞(脑血栓形成、脑栓塞)临床诊断的病例全部包括在内,占同期本科住院病人的19.3%,占脑血管意外的84.03%。本组病人男性165例,女性135例。年龄分布:19岁与25岁各1例,31～40岁7例,41～50岁55例,51～60岁94例,61～70岁79例,71～80岁50例,81岁以上13例。治疗方法:(一)管理血压:对脑梗塞病人,血压不超过170/110者不给予降血压药物,如血压持续偏低(在110/70以下),使用参麦针或肾上腺皮质激素适当升压。
First, the observation object and treatment observation object: January 1976 ~ the end of 1980, our department received a total of 300 cases of cerebral infarction, who have stroke characteristics, the incidence of less than 3 weeks, no blood in the cerebrospinal fluid (or bloody cerebrospinal fluid can prove For lumbar puncture caused by trauma), except for transient ischemic attack, in line with the clinical diagnosis of cerebral infarction (cerebral thrombosis, cerebral embolism) are all included, accounting for 19.3% of hospitalized patients in the same period, accounting for cerebrovascular Unexpected 84.03%. The group of 165 males and 135 females. Age distribution: 1 case of 19 and 25 years old, 7 cases of 31 to 40 years old, 55 cases of 41 to 50 years old, 94 cases of 51 to 60 years old, 79 cases of 61 to 70 years old, 50 cases of 71 to 80 years old, 13 cases. Treatment: (a) management of blood pressure: cerebral infarction patients, blood pressure does not exceed 170/110 were not given antihypertensive drugs, such as blood pressure continued to be low (below 110/70), the use of Shenmai needle or adrenal cortex hormone appropriate liter Pressure