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本文对91例脑中风进行了临床分析。其中男性54例,女性37例,年龄43～88岁。经头颅 CT 证实脑缺血者53例,出血者38例。经治疗,存活78例,死亡13例。全部病例均经血粘度测定(包括全血粘度、血浆粘度、血沉,血球压积)。提示缺血性脑中风的全血粘度一般均高于正常,其低切率时的平均值为15.12厘泊(男)和19.83厘泊(女)。经统计学处理,血粘度对缺血性脑中风的判别正确率为76.67%(男)和95.65%(女);对出血性脑中风的判别正确率则为59.33%(男)和42.86%(女)。同时,血粘度测定对指导用药(如:甘霹醇或丹参)可能有益,对预后的判别也有一定的价值。
In this paper, 91 cases of stroke were clinically analyzed. There were 54 males and 37 females, ranging in age from 43 to 88 years. 53 cases of cerebral ischemia confirmed by head CT, hemorrhage in 38 cases. After treatment, 78 patients survived, 13 died. All cases were measured by blood viscosity (including whole blood viscosity, plasma viscosity, erythrocyte sedimentation rate, hematocrit). It is suggested that the whole blood viscosity of ischemic stroke is generally higher than normal, and the mean value of low shear rate is 15.12 centipoise (male) and 19.83 centipoise (female). The correct rate of blood viscosity for ischemic cerebral apoplexy was 76.67% (male) and 95.65% (female) by statistical analysis. The correct rate of hemorrhagic stroke was 59.33% (male) and 42.86% (male) Female). At the same time, blood viscosity measurement for the guidance of medication (such as: glycerol or salvia miltiorrhiza) may be beneficial, the prognosis of the discriminant also has some value.