| 高血压脑出血术后脑水肿临床探讨 |
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| 引用本文： | 何百祥,刘守勋,王茂德,谢昌厚.高血压脑出血术后脑水肿临床探讨[J].西安交通大学学报(医学版),1998(4). |
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| 作者姓名： | 何百祥 刘守勋 王茂德 谢昌厚 |
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| 作者单位： | 第一临床医学院神经外科学教研室!西安，710061，第一临床医学院神经外科学教研室!西安，710061，第一临床医学院神经外科学教研室!西安，710061，第一临床医学院神经外科学教研室!西安，710061 |
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| 摘 要： | 对手术前后作过CT检查的50例高血压脑出血病人进行回顾性分析。提出高血压脑出血出现下列情况者，术后可发生严重的脑水肿：①术前GCS≤6分；②脑疝形成;③本前血压≥24／12．7kPa，④深部型血冲；⑤脑中线结构移位≥1．0cm；⑥水后血压≥24／12．7kPa，不稳。术后主张大剂量、长时间应用脱水药。
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| 关 键 词： | 脑出血 高血压 脑水肿 |
CLINICAL RESEARCH ON BRAIN EDEMA AFTER OPERATIONS ON HYPERTENSIVE CEREBRAL HEMORRHAGE |
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| He Baixiang, Liu Shouxun, Wang Maode et al.CLINICAL RESEARCH ON BRAIN EDEMA AFTER OPERATIONS ON HYPERTENSIVE CEREBRAL HEMORRHAGE[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1998(4). |
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| Authors: | He Baixiang Liu Shouxun Wang Maode |
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| Abstract: | 50 cases of hypertensive cerebralhemorrhage with pre- and post- operative CT scanwere analyzed restrospectively. Severe brain edemawould occur with following conditions: ① pre-operative GCS≤6;②uni- or bilateral pupil dilatation ;③are-oDerative BP≥24/12. 7kpa ;④hematoma in deepposition;⑤midline structure shift≥ 1. 0cm;⑥ postoperative BP≥24/12 kpa,and was not steady. Wesuggest that big-dosage and long term dehydrate agents should be applied after operations on hypertensive cerebral hemorrhage. |
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| Keywords: | cerebral hemorrhage hypertensive brain edema |
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