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急性出血性脑血管病,简称出血性卒中。主要包括蛛网膜下腔出血和脑出血,其死亡率很高,并且发病后的死亡速度很快。其死亡的较重要的原因是:发病后可很快发生颅内压增高和脑水肿,并导致脑疝形成,使脑干受压甚至发生继发性脑干出血、坏死,危及生命。所以,控制脑水肿、降低颅内压是出血性卒中急性期处理的一个重要环节。肾上腺皮质激素在治疗急性脑出血的过程中具有很重要的作用,现讨论报告如下。
Acute hemorrhagic cerebrovascular disease, referred to as hemorrhagic stroke. Mainly include subarachnoid hemorrhage and cerebral hemorrhage, the mortality rate is high, and the incidence of death after the fast. The more important reason for its death is that the rapid onset of intracranial pressure and cerebral edema may lead to the formation of herniation, which may cause the compression of the brainstem and may even cause hemorrhage, necrosis and life-threatening of the brainstem. Therefore, the control of brain edema, reduce intracranial pressure is an acute phase of hemorrhagic stroke treatment an important part. Corticosteroids in the treatment of acute intracerebral hemorrhage has a very important role, the discussion report is as follows.