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临床资料一、一般情况全部病例均符合1986年第二次全国脑血管病学术会议第3次修订的诊断要点。所有病人都进行头颅CT检查确定诊断。将患者随机分为治疗组与对照组。血液稀释前后行血液流变学检验对照。治疗组男18例,女12例。平均年龄61.2岁。病程 1～5d 18例;6～10d 7例;11～15d 3例。偏瘫27例,失语9例,意识障碍3例。对照组30例中男20例,女10例。平均年龄63.4岁。病程1～5d 15例;6～10d 8例;11～18d 7例。偏瘫30例,失语8例,意识障碍5例。两组患者临床表现基本相似。二、治疗方法两组病人入院后,根据病情给以甘露醇脱水,小剂量阿斯匹林、丹参片、706代血浆加维脑路通0.5g静滴,每日1次。另外,治疗组在入院第3天,根据血细胞压积(Hct)的高低采取等容量血液稀释
Clinical data First, the general situation All cases are in line with the Second National Cerebrovascular Disease Conference in 1986 the third revision of the diagnostic points. All patients underwent head CT examination to confirm the diagnosis. The patients were randomly divided into treatment group and control group. Hemodialysis test before and after hemodilution. Treatment group, 18 males and 12 females. The average age is 61.2 years old. The course of disease was 1 ~ 5 days in 18 cases, 6 ~ 10 days in 7 cases and 11 ~ 15 days in 3 cases. 27 cases of hemiplegia, aphasia in 9 cases, 3 cases of disturbance of consciousness. The control group of 30 patients in 20 males and 10 females. The average age of 63.4 years old. Duration of 1 ~ 5d 15 cases; 6 ~ 10d 8 cases; 11 ~ 18d 7 cases. Hemiplegia in 30 cases, aphasia in 8 cases, disturbance of consciousness in 5 cases. The clinical manifestations of the two groups were similar. Second, the treatment of two groups of patients admitted to hospital, according to the condition to mannitol dehydration, low-dose aspirin, Danshen tablets, 706 generation of plasma plus verapamil 0.5g intravenous infusion 1 day. In addition, the treatment group on the 3rd day of admission, according to the level of hematocrit (Hct) to take the same volume of hemodilution