摘要
为了探讨甘露醇对高血压性脑出血早期血肿扩大的影响 ,将 71例急症就诊的高血压性脑出血患者随机分为甘露醇治疗组 (A组 )和速尿治疗组 (B组 ) ,并行颅脑 CT复查观察治疗后 2 4小时两组血肿扩大情况。结果显示 ,血肿扩大发生率为 A组 33.3% ,B组 17.1%。提示应用大剂量甘露醇脱水治疗可能是高血压性脑出血早期引起血肿扩大的原因之一 ,建议发病 2 4小时内应用速尿降低颅内压 ,病情危重者可联用甘露醇与速尿。
To study the effect of mannitol on early enlargement of hematoma following hypertensive cerebral hemorrhage The emergency patients with hypertensive cerebral hemorrhage were divided into group A(36 cases)and group B(35 cases) The mannitol was used in group A and the furosemide was used in group B All patents were examined two times by cranial CT It was found that 33 3% patients(12 cases)in group A had enlargement of hematoma and 17 1% patients(6 cases)in group B had it So the inapt use of mannitol may be one reason of the early enlargement of hematoma following hypertensive cerebral hemorrhage
出处
《山东医药》
CAS
北大核心
2002年第1期8-9,共2页
Shandong Medical Journal
关键词
高血压性脑出血
甘露醇
早期血肿扩大
影响
Hypertensive cerebral hemorrhage Mannitol Early enlargement of hematoma
