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目的:探讨七叶皂甙钠治疗脑溢血及外伤性颅内血肿的疗效。方法:52例患者全部采用国产七叶皂甙钠25mg加入10％葡萄糖溶液500～1000ml内作静脉滴泣,每天1次,14天为一个疗程,病情需要时,可连用两个疗程。结果:经过1个疗程,颅内血肿吸收者占67.30％,经过两个疗程的有32.70％,其中血肿完全吸收者占50.00％,大部分吸收者占38.46％,部分吸收者占11.54％。结论:七叶皂甙钠有促进血肿周围新生血管增生和血管性肉芽组织生长以及使血肿的溶化和吸收过程提早的作用。
Objective: To investigate the therapeutic effect of sodium aescinate on cerebral hemorrhage and traumatic intracranial hematoma. Methods: All 52 patients were treated with sodium aescinate 25mg, 10% dextrose solution 500 ~ 1000ml for intravenous drip, 1 day, 14 days for a course of treatment, when needed, can be used in combination with two courses. Results: After a course of treatment, 67.30% of those with intracranial hematoma were absorbed, 32.70% of those with two courses of treatment, 50.00% with complete hematoma absorption, 38.46% with most of the absorbers and 11.54% with some absorbers. CONCLUSION: Sodium aescinate can promote neovascularization and vascular granulation tissue growth around hematoma and accelerate the process of dissolution and absorption of hematoma.