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目的探讨高血压脑出血术后脑梗死的发生机制及防治方法。方法对6例高血压脑出血术后脑梗死患者进行头颅CT动态观察及早期注意维持有效循环血容量,降低血液粘度,改善脑微循环,及时进行溶栓治疗,排放血性脑脊液及亚低温治疗。结果死亡2例,植物生存1例,中至重度残疾3例。结论血管受压、血性蛋白等刺激和血液高凝状态是高血压脑出血术后脑梗死的主要原因。高血压脑出血术后脑梗死提前预防是关键。一旦发生,治疗效果则较差。
Objective To investigate the pathogenesis and prevention of cerebral infarction after hypertensive cerebral hemorrhage. Methods Six patients with cerebral infarction with hypertensive intracerebral hemorrhage underwent cranial CT dynamic observation and early attention to maintain effective circulating blood volume, reduce blood viscosity, improve cerebral microcirculation, timely thrombolytic therapy, discharge of bloody cerebrospinal fluid and mild hypothermia. Results of death in 2 cases, 1 case of plant survival, moderate to severe disability in 3 cases. Conclusion Vascular pressure, bloody protein stimulation and blood hypercoagulability are the main causes of cerebral infarction after hypertensive intracerebral hemorrhage. Hypertensive cerebral hemorrhage after cerebral infarction in advance prevention is the key. Once occurred, the treatment effect is poor.