进展型缺血性脑梗塞常推荐用肝素抗凝治疗。但迄今尚无详述该药近期效果的可靠资料。作者报告了36例治疗结果,治疗前均经CT扫描除外脑出血。全部病例均符合进展型缺血性脑梗塞的标准,并除外肝素禁忌症和神经功能已达重度缺损者。在神经系统基础体征检查、CT扫描及某些病人腰椎穿刺后,开始给予肝素3000～5000单位快速静脉输注,然后每小时1000单位持续滴注。滴速要求部分凝血酶时间为对照的1.5～2倍,并保持血压、电解质和血氧分压的正常值。每天记录其神经系统检查结果。病情恶化是根据对比病人的基础神经系经检查至少有下 Progressive ischemic infarction often recommended heparin anticoagulant therapy. But so far no reliable information on the recent effects of the drug is available. The authors reported 36 treatment outcomes, except for CT scan prior to treatment of intracerebral hemorrhage. All cases were in line with the progress of ischemic cerebral infarction standards, and except for heparin contraindications and neurological function has reached severe defects. In the basic nervous system examination, CT scan and lumbar puncture in some patients began to give heparin 3000 ~ 5000 units rapid intravenous infusion, and then 1000 units per hour continuous infusion. Dropping speed required partial thrombin time 1.5 to 2 times the control, and to maintain blood pressure, electrolytes and oxygen partial pressure of the normal value. Record daily neurological examination results. The deterioration of the condition is based on the comparison of the patient’s basic nervous system at least under the check