我科用低分子右旋糖酐(分子量小于40,000)治疗脑梗塞过程中引起脑出血3例报告如下: 例1.马××,男,63岁,右侧肢体功能障碍15天入院。当时查体;右侧肢体轻度偏瘫、肌力Ⅱ～Ⅲ级、腱反射减弱,病理反射未引出。脑脊液正常、眼底检查提示视网膜动脉硬化Ⅰ期,诊断为动脉硬化性脑梗塞。给予低分子右旋糖酐500毫升静滴,每日1次。用药第14天,患者突然出现剧烈头痛、恶心呕吐、神志恍惚,四肢肌张力增高、颈有抵抗、腱反射 My department of low molecular weight dextran (molecular weight less than 40,000) in the treatment of cerebral infarction caused by cerebral hemorrhage in 3 cases reported as follows: Example 1. Ma × ×, male, 63 years old, right limb dysfunction 15 days admission. Physical examination at that time; mild hemiplegia on the right limb, muscle strength Ⅱ ~ Ⅲ grade, weakened tendon reflexes, pathological reflex did not lead. Cerebrospinal fluid is normal, fundus examination revealed retinal atherosclerosis stage Ⅰ, diagnosis of atherosclerotic cerebral infarction. Give low molecular weight dextran 500 ml intravenously once daily. On the 14th day of treatment, the patient suddenly had severe headache, nausea and vomiting, unconsciousness, increased muscle tone of the extremities, neck resistance, tendon reflex