Objective Early observation of the progress of low-dose mannitol treatment of cerebral infarction.MethodsThe progress of 86 cases of cerebral infarction were randomly divided into treatment and control groups,each of the 43 cases,effects were compared between two groups.ResultsTreatment group,neurological deficit scores to reach statistical difference(P<0.05),the treatment group than the control group.ConclusionThe progress of low-dose mannitol treatment of cerebral infarction was superior to the control group,The method is simple and affordable.

目的观察超早期脑梗死(ACI)应用尿激酶(UK)的临床疗效。方法将急性ACI分为治疗组与对照组。治疗组给予UK静滴,对照组静滴奥扎格雷钠。同时使用脱水、扩管、清除自由基。治疗前、治疗后1、7、14、21、90d比较两组CSS及日常活动量评分。结果治疗组近期及远期疗效均显著高于对照组。结论UK溶栓治疗时间越早、效果越好,相对安全。

Objective Observation of minimally invasive brain surgery to remove directional hematoma of the efficacy of the treatment of cerebral hemorrhage.Methods Sixty-four patients were randomly divided into of minimally invasive medical conservative treatment group(32 cases) and internal medicine group(32 cases),effects were compared between the two groups.Results The total effective rate of minimally invasive group(87.5%) was higher than internal medicine group(65.6%),the difference was statistially significant(P<0.05).Fatality rate of minimally invasive group(12.5%) was significantly lower than that of internal medicine group(28.1%)the difference was statistially significant(P<0.05).Admission and treatment of 2 weeks,4 weeks after the neurological deficit scores,the difference was statistically significant(P<0.05).Conclusion Minimally invasive for the treatment of cerebral hemorrhage simple,minimally invasive,safe,reliable,economical and practical.It should help to significantly improve the prognosis of patients and reduce mortality in patients with effective and reliable.

Objective To investigate the treatment of the anoxia brain disease.Methods To retrospective analyze the ways and the results of the 9 cases with the patients anoxia brain disease.Results All have the amendment of different degree through comprehersive treatment.Conclusion It showed that the combined therapy have the significiant effect on the anoxia brain disease.

Objective To investigate the effect and cerebralfluid change of migraine by treatment with hyperbaric oxygen.Methods Hyperbaric oxygen combing drugs to treat for migraine,and observe their effection.Results The total of efficiency was 84.4%.Conclusion It is an effective method that hyperbaric oxygen combing drugs to treat for migraine.

Objective To study the change of P - seclectin and the effect of defibrin with acute cerebral infraction. Methods 96 cases were divided into defibrin group (56 cases) and Aspirin group (40 cases), 30 normal people as control group .The change of P - selectin was detected respectively, and the effects of defibrin to glucose, blood lipids, fibrinogen were observed. Results The level of P - seclectin in defibrin group and Aspirin group were higher than that of control group (P < 0.01); the level of P - selectin in defibrin group and Aspirin group were decreased ( P < 0.01) . It was no signficant defferences between defibrin group and Aspirin group ( P > 0.05); the level of fibrinogen was decreased after therapeutic (P<0.01) .Conclusion P- selectin takes part in the injury pathology process in acute cerebral.Defibrin may block the express of P - selectin and decrease fibrinogen signficintly.

1资料与方法 1.1一般资料 在本院2002年1-10月收治的120例脑卒中患者随机分为60例接受早期康复治疗的康复治疗组,另外60例作为对照组.所有病例均符合脑卒中诊断标准,均经头颅CT或MRI确诊;均为首次发病;神经系统检查有明显体征.

作者对40例有精神障碍的脑血管病人进行精神心理疗法收到良好效果.现报道如下.

目的:观察脑脊液持续引流治疗蛛网膜下腔出血(SAH)的疗效.方法:对住院的SAH患者31例应用脑脊液持续引流为治疗组,25例常规治疗为对照组.结果:两组病人头痛缓解时间、脑积水发生例数、脑血管痉挛发生例数、消化道出血例数、肾功能损害例数,经统计学处理有显著差异(P＜0.05).治疗组死亡1例,对照组死亡5例,有显著差异(P＜0.05).结论:脑脊液持续引流治疗SAH可减少并发症,改善其预后.

目的探讨降纤酶对急性脑梗死患者血液流变学的影响.方法应用降纤酶治疗40名脑梗死患者,分别记录治疗前后血液流变学的变化.结果用药后全血粘度、血浆粘度、红细胞聚集力、红细胞压积等均有不同程度下降.结论降纤酶可降低血粘度、抑制红细胞聚集、改善微循环,有助于早期神经功能恢复.

目的探讨基底动脉尖端综合征(RBAS)的临床特点、诊断及治疗.方法总结了15例RBAS患者的临床表现、体征,对发病特点、梗塞部位及鉴别诊断进行了分析.结果患者平均年龄为60.5岁,多有高血压、糖尿病及椎基底动脉供血不足病史.梗塞部位多在丘脑、中脑、脑桥上部、枕叶及小脑.一次发病可有多个病灶.结论传统型RBAS较可逆型RBAS治愈率低应尽早溶栓治疗.

1 对象与方法 1.1 对象我科共收治脑卒中病人 374例；其中缺血性 206例，出血性 114例。伴有失语症 76例，在发病后 6～ 30d进行失语症检查，按照 Benton提出的失语综合征分类： 76例患者有 58例做了头颅 CT，病灶在优势半球 41例，在非优势球 17例。

认知功能障碍通常是指智能的异常恶化从而影响认知功能的多个方面,如抽象、定向、判断和记忆等.引起认知功能障碍的常见原因有Alzheimer病、脑血管病、Parkin son病、进行性核上性麻痹、Hunting ton病及各种代谢中毒等原因引起的大脑损害等.关于认知功能障碍的报告已不少,而关于丘脑病变引起认知功能障碍的报告却很少,现将我们收治的48例丘脑病变报告如下.

大量动物实验研究表明，胰岛素具有防治脑缺血损害的作用[1,2]。作者对胰岛素辅助治疗脑梗死进行了临床观察，以探讨正规胰岛素对脑梗死的治疗作用。1 临床资料1．1 一般资料 1997年1月～1999年10月，在96h内就诊，经头颅CT明确诊断为脑梗死的患者73例，其中男40例，年龄45～78岁，平均(58±2．3)岁；女33例，年龄49～82岁，平均(60±3．2)岁；既往高血压病史45例，冠心病史32例，均无糖尿病史。1．2 神经功能缺损参照1986年全国第二次脑血管会议所定的标准[3]评分。1．3 血糖检查均在入院后48h内抽空腹血，采用日立-7060全自动生化分析仪分析血糖。

目的：探讨急性脑血管病患者的白细胞计数及电解质、肾功能改变对预后的影响。方法：580例急性脑血管病患者，通过头颅Cr及头颅MRI确诊为脑出血240例，脑梗死340例，进行血常规及血生化检查，包括K+、Na+、Cl-、BUN、血糖、Cr并计算血浆渗透压和进行动态观察。结果：白细胞计数明显升高及血钠、渗透压、肾功能差的患者其预后差，血糖升高者预后亦较差，而白细胞计数、肾功能、血钠、渗透压、血糖正常者预后较好。结论：在脑血管病急性期，动态监测白细胞计数、肾功能、血钠、血糖并计算渗透压，对估计预后及制定合理的治疗方案非常必要。

慢性格林巴利综合征又称慢性炎症性脱鞘性多发性神经根神经病(CIDP).由Hinman等(1967年)正式命名[1].作者1983年3月～1997年2月共收治11例患者,报道如下. 1 临床资料 1.1 一般资料 11例患者均附合Hinman提出的CIDP诊断标准,男6例,女5例,年龄23～63岁,平均(43±3.5)岁.其中缓慢进展型9例,病程短者3个月,长者2a;复发型2例.2例有发热、上感,余均无诱因.以双下肢麻木起病者5例,以四肢麻木无力起病者4例,以双上肢麻木无力起病者1例,双下肢浮肿起病者1例;肌力在Ⅱ～Ⅳ级不等;球麻痹者6例;阳萎者2例;有末稍型感觉障碍者6例;肌萎缩5例;四肢腱反射减弱4例,消失7例;脑脊液细胞数1例为14×106L-1,余均正常;蛋白质最低59mg/L,最高300mg/L.肌电图运动传导速度减慢1例,感觉传导速度减慢6例,失神经传导2例.