颅内高压症的中西医结合救治

Intracranial Hypertension Treated by Integrated Chinese and Western Medicine

颅内高压症和脑疝是临床常见的急危重症。中医学认为致病因素种类繁多;病机主要涉及肝阳暴亢,痰热腑实,颅脑水瘀,颅脑水毒。同时,介绍了现代医学对颅内高压症的病因和发病机制认识,诊断标准和诊断思路,临床分型和分期。中医救治的方法主要包括辨证论治及中成药制剂,现代医学主要有病因治疗和对症降颅压,脑疝治疗强调预防为主、重症监护、降颅压及手术治疗。

Intracranial hypertension and herniation syndromes are common clinical emergencies. Traditional Chinese Medicine （TCM） believes that they are resulted from a wide variety of pathogenic factors, and their pathogenesis is main- ly related to extreme hyperactivity of the liver - Yang, accumulation of pathogenic water and blood stasis in brain, and ac- cumulation of pathogenic water and toxin in brain. Simultaneously, this article is an introduction to the understanding of the etiology and pathogenesis of intracranial hypertension in Western medicine, the diagnostic criteria and diagnostic thinking, and clinical classification and staging. TCM therapy mainly includes the differential diagnosis of TCM and mod- em Chinese patent preparations. Western conventional medication mainly includes etiological treatment and lowering intracranial pressure. Treatment of herniation focuses on prevention first, intensive care, lowing the intracranial pressure and surgery.