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目的 :观察小剂量白蛋白治疗脑出血的疗效。方法 :6 0例脑出血患者随机平分为治疗组和对照组各 30例。所有病人均应用 2 0 %甘露醇脱水治疗 ,脑细胞保护剂 ,保持水电酸碱平衡等常规治疗。治疗组应用白蛋白 5g静脉滴注 ,每天 1次 ,连续 10天为 1疗程。治疗 15天和 30天后两组均复查CT。结果 :治疗组 30天后疗效明显高于对照组 (P<0 .0 5 )。CT显示治疗组在 15天后血肿周围缺血水肿带明显小于对照组 (P <0 .0 1) ,30天血肿吸收率明显高于对照组(P <0 .0 1)。结论 :小剂量白蛋白结合常规治疗方法治疗脑出血疗效明显优于常规治疗组。
Objective: To observe the therapeutic effect of small dose of albumin on cerebral hemorrhage. Methods: 60 patients with cerebral hemorrhage were randomly divided into treatment group and control group, 30 cases each. All patients were treated with 20% mannitol dehydration, brain cell protectants, to maintain the hydropower acid-base balance and other conventional treatment. Treatment group, albumin 5g intravenous infusion, 1 day, 10 days for a course of treatment. CT and CT were examined in both groups 15 and 30 days after treatment. Results: The therapeutic effect in the treatment group after 30 days was significantly higher than that in the control group (P <0.05). CT showed that the ischemic edema zone around the hematoma in the treatment group was significantly smaller than that in the control group (P <0.01) after 15 days, and the hematoma absorption rate at 30 days was significantly higher than that of the control group (P <0.01). Conclusion: The efficacy of small dose of albumin combined with conventional treatment of cerebral hemorrhage was significantly better than the conventional treatment group.