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通过45例混合性卒中患者的临床特点及CT扫描所见,分析了混合性卒中脑出血与脑梗塞的病因、发病机制及两者同时存在或相继发生时的病理变化及相互演变的关系。作者提出了混合性卒中的临床治疗原则:①早期治疗大致与脑出血的治疗原则相同,待病情稳定后与脑梗塞治疗相同。②根据病灶大小及脑水肿程度,注意合理使用脱水降颅压药物。③血压管理应适度。本组45例患者治疗结果:27例治愈(60.0%),10例存活但遗留不同程度的神经系统症状(22.2%),8例死亡(17.8%)。
Based on the clinical features and CT findings of 45 patients with mixed stroke, we analyzed the etiopathogenesis and pathogenesis of ICH complicated by cerebral infarction and their relationship with the pathological changes and their mutual evolution. The authors put forward the principle of clinical treatment of mixed stroke: ① early treatment and treatment of cerebral hemorrhage roughly the same principles, to be stable after the same as the treatment of cerebral infarction. ② according to the size of the lesion and cerebral edema, pay attention to the rational use of dehydration and intracranial pressure drugs. ③ blood pressure management should be appropriate. Results of the treatment in 45 patients in this group were: 27 cases cured (60.0%), 10 cases survived but some neurological symptoms (22.2%) and 8 cases (17.8%) survived.