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急性脑缺血发作后短时间内症状恶化的重症患者进行内科疗法效果不显或继续加剧时应积极采用大骨瓣内外减压术,可挽救部分患者生命,而且对机能的恢复也会有所帮助。我科用此法抢救4例,取得良好效果,现报告如下例Ⅰ,刘××,女,45岁。既往有风湿性心脏病。74年10月3日活动中突然昏倒抽搐、右半身瘫。检查发现,二尖瓣狭窄并闭锁不全,三级吹风样杂音,患者呈中等昏迷,口吐白沫,右上,下肢肌力0°,右巴宾斯基征(+)。血压120/80mmHg,脑脊液压力300mmH_2O,无色透明。诊断为左颈内动脉或大脑中动脉栓塞。按脑栓塞常规治疗,应用甘露醇、激素、低右及扩张血管药物等治疗,症状
Severe symptoms of acute cerebral ischemia in patients with severe symptoms of medical therapy was no significant effect or continue to aggravate the use of large bone flap should be actively decompression surgery can save part of the lives of patients, and the recovery of the function will be help. Our department to use this method to rescue 4 cases, achieved good results, the report is as follows I, Liu × ×, female, 45 years old. Past rheumatic heart disease. October 3, 74 activities suddenly fainting convulsions, right paralysis. Examination revealed mitral stenosis and atresia, three hair-like noise, the patient was moderate coma, foaming at the mouth, upper right, lower limb muscle strength 0 °, right Babinski sign (+). Blood pressure 120 / 80mmHg, cerebrospinal fluid pressure 300mmH_2O, colorless and transparent. Diagnosis of left internal carotid artery or middle cerebral artery embolism. By conventional treatment of cerebral embolism, the application of mannitol, hormones, low right and dilation of blood drug treatment, symptoms