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在急性脑血管病中,以缺血性较多见,常于脑内形成梗塞灶。由于病变的部位和范围、脑水肿反应程度及侧支循环代偿等的不同,临床表现复杂多样。尽管有不少新技术应用于临床,但因条件限制、掌握或分析欠妥,有的病例仍未能确诊。脑梗塞一旦形成,极难逆转,因此处理应及时得当。随着研究的深入,已有许多疗法供选用,但由于指征或时机欠准,有时不易达到预期效果,甚至反而加重病情。故脑梗塞的诊断和治疗依然是中风临床的一个突出问题。我们特组织本文,介绍日常医疗工作中遇过的实例,供读者从中吸取有益的经验教训,为临床诊疗提供参考。
In acute cerebrovascular disease, ischemic is more common, often in the brain infarction. Due to the location and extent of the lesion, the degree of brain edema and the compensations of collateral circulation, the clinical manifestations are complex and diverse. Although there are many new technologies used in clinical practice, some cases are still not confirmed due to limited conditions, inadequate mastery or analysis. Once the formation of cerebral infarction, extremely difficult to reverse, so treatment should be promptly appropriate. With the deepening of research, many therapies have been used for selection. However, due to the lack of indication or timing, it is sometimes not easy to achieve the desired effect, or even worse. Therefore, the diagnosis and treatment of cerebral infarction is still a prominent issue in clinical practice. We specially organize this article to introduce the examples encountered in the daily medical work for readers to learn useful lessons from which to provide a reference for clinical diagnosis and treatment.