摘要
目的：寻找一种有效的治疗脑血管痉挛的新方法。方法：蛛网膜下腔出血（ＳＡＨ）后所致的症状性脑血管痉挛（ＣＶＳ）病人１６例，采用等容稀释加多巴酚丁胺和胞二磷胆碱进行治疗。结果：治疗后脑电和ＣＴ检查正常。基底动脉ＴＣＤ血流速度和心输出量分别由治疗前的５１±１３．６ｃｍ／ｓ和４．６０±１．６Ｌ／ｍｉｎ增加到治疗后的７０±１２．６ｃｍ／ｓ和１１．５±２．８６Ｌ／ｍｉｎ（Ｐ＜０．０５）。除两例肢体肌力由原来的Ⅲ级恢复到Ⅳ级外，其余均恢复正常。总有效率高达９４％。结论：该法治疗ＣＶＳ有效。
Objective:To find an effective method of treating cerebral vasospasm.Methods:Sixteen cases with symptomatic vasospasm after SAH were treated with isovolemic hemodilution and dobutamine and CDPC.Results:EEG and CT examination was normal after treating.Blood veloctities of basilar artery TCD (70±12 6 cm/s) in patients treated with this method and cardiac output (11 5±2 86 L/min) were higher than those (51±13 6 cm/s and 4 60±1 61 L/min respectively) in patients without treating (P<0 05).Myodynamia also returned to normal besides 2 patients.The cure rate was 94%.Conclusions:Patients who suffered from cerebral vasospasm could be treated with this method.
出处
《中国冶金工业医学杂志》
1997年第2期79-80,共2页
Chinese Medical Journal of Metallurgical industry
关键词
蛛网膜下腔出血
多巴酚丁胺
胞二磷胆碱
SAH
Cerebral vasospasm
Isovolemic hemodilution
Dobutamine
CDPC
