论文部分内容阅读
五十年代初期,治疗脑出血主要为内科疗法,如腰穿放脑脊液、氨茶硷加高渗葡萄糖静注、放血、耳后置水蛭、肌注25%硫酸镁等,以脱水降压,死亡率达71.42~77%。五十年代末至六十年代初废除了放脑脊浓及放血疗法,同时也认为氨茶硷加高渗葡萄糖静注无效,而采用人工冬眠,并提出降温疗法治疗重症脑出血,对呼吸困难者行气管切开。1958年少数病例采用手术清除血肿或血肿穿刺,使死亡率下降至56~66%,并延长了生存期。六十年代中期及七十年代用山梨醇、尿素、甘露醇及激素等脱水治疗,使内科死亡率降为50%左右。另外,由于脑血管造影术及脑超声的临床应用,给
In the early 1950s, the treatment of cerebral hemorrhage mainly for medical therapy, such as lumbar puncture put cerebrospinal fluid, aminophylline and hypertonic glucose intravenously, bleeding, ear leech, intramuscular injection of 25% magnesium sulfate, dehydration and blood pressure, death Rate of 71.42 ~ 77%. From the late 1950s to the early 1960s, cerebrospinal fluid concentration and bloodletting were abolished. At the same time, it was also considered that intravenous infusion of aminophylline plus hypertonic glucose was ineffective, artificial cooling was used, and cooling therapy was given to treat severe intracerebral hemorrhage. Tracheotomy patients. In 1958 a small number of cases of surgical removal of hematoma or hematoma puncture, the mortality rate dropped to 56 to 66%, and extended survival. In the mid-1960s and the seventies dehydration therapy with sorbitol, urea, mannitol and hormones reduced the medical mortality rate to about 50%. In addition, due to cerebral angiography and brain ultrasound clinical application