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目前对原发性脑干损伤的治疗尚无有效疗法。笔者应用肝素、菸酸、潘生汀治疗2例报告如下: 例1 男性22岁战士。头部坠击伤后6周、昏迷于1986年9月30日转入。入院前6周自6米高处坠落头面部着力,伤后即刻昏迷,伴频繁发作性去脑强直抽搐,当地诊断为脑挫裂伤、颅内血肿行颅骨钻孔探查术,术中未见颅内血肿。转入我院当时昏迷、鼻饲、双眼分离性凝视,双瞳孔3.5:3.5mm,光反射(+),双眼底(一);左侧周围性面瘫,颈阻抗(+),四肢肌张力增高,右侧为著,右上下肢肌力减低,深反射亢进,右锥体束征(+)。CT脑扫描提示:双侧额叶小脑萎缩、左额少量硬膜下积液;BAEP(脑干听觉诱
Currently there is no effective treatment for the treatment of primary brain stem injury. The author of heparin, niacin, pan-Ting treatment of 2 cases are as follows: Example 1 male 22-year-old soldier. Six weeks after the head crashed, the coma was transferred on September 30, 1986. Six weeks before admission, he fell from the 6-meter-high head and face, immediately coma after injury, with frequent episodes of tetanic tonic convulsions, local diagnosis of cerebral contusion, intracranial hematoma skull drilling exploration, no intraoperative Intracranial hematoma. Into our hospital was coma, nasal feeding, eyes detached gaze, double pupil 3.5: 3.5mm, light reflex (+), both eyes (a); left peripheral facial paralysis, cervical impedance (+), limb muscle tension increased, On the right side, lower right upper extremity muscle strength decreased, hyperreflexia, right cone beam sign (+). CT brain scan tips: bilateral frontal atrophy of the cerebellum, left frontal subdural effusion; BAEP (brain stem auditory lure