【社论】对于各种各样的中风,希望只要治疗一次就可以了,这是天真的想法,而是要应用一定的处理原则。除了最轻的病例和濒死的病人外,所有的病人都要收住院,进行细致的临床和实验室检查。现在已经过分强调需要用计算机X线断层扫描来鉴别脑出血和脑梗塞。这种鉴别很少能改变处理办法,所以常规扫描是不必要的。梗塞的中心点或出血是不可恢复的损伤,因此治疗的目的是保存在缺血“半影”(梗塞较弱的边缘部分)用围的细胞,以尽量减少脑损伤和随后发生的障碍。流到中风中心部分及其边缘的血液很少,而当血流减少时,代谢活动旺盛的细胞就容易受损。所以看来以减少代谢和增进脑血流为宜。可以用镇定药或降温来 [Editorial] For a variety of strokes, hope that treatment as long as it can be a naive idea, but to apply certain principles. Except for the lightest and dying patients, all patients are admitted to the hospital for careful clinical and laboratory tests. It has now been overemphasized that computer tomography is needed to identify cerebral hemorrhage and cerebral infarction. This type of identification rarely changes the way things are handled, so routine scanning is not necessary. The center of infarction or bleeding is an irreversible lesion, so the goal of treatment is to preserve the cells surrounding the ischemic “penumbra,” the weakened periphery of the infarct, to minimize brain damage and subsequent disorders. There is very little blood flow to the center of the stroke and its edges, and when the blood flow is reduced, the metabolically active cells are easily damaged. So it seems appropriate to reduce metabolism and improve cerebral blood flow. You can use tranquilizers or cool down