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CT positioning cone extracranial drainage in the treatment of traumatic intracranial hematoma in 23 cases


Next. 1 Data and methods 1.1 General information: a case of our department in May 1998 ~ Nov. 1999 patients. Are in line with the 4th National Conference to develop cerebral infarction cerebrovascular disease diagnostic criteria l3j, and by fields or MR [confirmed exclude cerebral hemorrhage and brain tumors. No active bleeding,[link widoczny dla zalogowanych], blood disease, cerebral hemorrhage, trauma surgery and serious liver and kidney diseases lead fibrinolytic thrombolytic contraindications yeast treatment group 70 cases, including 43 males and 27 females; aged 40 to 79 years, mean 61 2 years of age. Complications: 54 patients with hypertension, heart disease, 32 cases of inverted sugar l7 feces disease, hyperlipidemia in 42 cases. Side of the basal ganglia infarction in 16 cases, the two sides of basal ganglia infarction in 26 cases, 20 cases of cerebral lobe infarction, brainstem infarction in 8 cases. Control group of 40 patients,[link widoczny dla zalogowanych], 2l male, female l9 cases; age of 45. 78 years old. Complications: 30 cases of hypertension. L9 patients with heart disease, diabetes, 9 down, 23 patients with hyperlipidemia. 9 cases of unilateral basal ganglia infarction. Bilateral basal ganglia infarction in 15 cases, 2 cases of brainstem infarction, cerebral lobe infarction I4 cases. Two sick age, gender, disease duration, extent of disease, neurological deficits were not significantly different. 1.2 Methods: The treatment group in the incidence of 3-120h defibrillators in 250ml saline defibrase l0U intravenous infusion, 1h infusion is completed,】 day, once every 3-5 days. Control group with low molecular weight dextran 250-500ml Salvia miltiorrhiza injection 20 Note vein. 1 day, once every 7 ~ l4 days. The same as the other treatment groups. 1.3 Observation Project: Determination of the three groups before and after treatment were normal, a clotting time, prothrombin time, hematocrit, fibrinogen, dimer, lipid and liver and kidney function. Observed before and after treatment 1,3,[link widoczny dla zalogowanych],7,14 days of the recovery of neurological function in patients】. 4 Clinical Evaluation: According to the 1995 National 4 th meeting of cerebrovascular disease by the clinical study of wood evaluation standard l, J. 2 Results 2. 】 Effect: the treatment group of 70 down, 52 patients cured, the cure rate 74.3%; significant progress】 2 cases, markedly effective rate 91.4%; progress in 4 cases; no change in 2 cases; no deterioration and death. The total effective rate was 97.1%. Control group of 40 patients, 12 cases of the basic cure,[link widoczny dla zalogowanych], cure rate of 3o% i poultry significant progress in 9 sides. Effective rate 52.5%; progress pseudo 7; no subject of l0 cases; deterioration of 2 false; no death disease false. The total effective Medical University Press ,1992.199-200 · 27.2 Harhrm swollen A, MastH, MohrJP. eta1. Mod ~ ty0fintracranislhm Ⅱ l 'Slap inp Dian witho at ebr coffee at la 【to'r ah Na malfoa ~ ion. S coffee e, 1998,[link widoczny dla zalogowanych],29 (5): 931.3 Zhao Weizhong Zhang arts. Li Tianyu. And so on. Secondary ventricular hemorrhage. Neurosurgery, 1995, l1 (1): 52.4 Shi Yuquan, editor of Practical Neurology. 2. On a per: Shanghai Science and Technology Press ,1994.301-302. (Received: 2OOO a 09-29) rate of 70%. Statistical analysis, two sets of governance disk rate, markedly effective rate and total effective rate were significantly different (P = 0.052.4 side effects: the treatment group started treatment after needle injection subcutaneous injection site hemorrhage 3 down, does not affect the further treatment. And the dial needle after local pressure to take 10 to 15 minutes, subcutaneous bleeding does not occur again. Control group, 7 patients had infusion reactions. 3 Discussion 'most cerebral infarction due to cerebral artery thrombosis caused by congestion. Some studies have shown. Cushions in the early acute infarction and bundle completely interrupted blood flow, the central area around the infarct ischemia surviving in a marginal zone, that penumbra, if immediate restoration of blood flow and function return to normal, thereby promoting thrombosis in the early dissolution negligent. Not to save
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