30例高血压脑出血的诊治分析

Analysis the Diagnosis and Treatment of 30 Cases With Hypertensive Cerebral Hemorrhage

目的 探讨高血压脑出血患者的临床治疗效果。方法 选取2012年8月-2014年8月在我院诊治的30例高血压脑出血患者,给予静脉滴注呋塞米、甘露醇、地塞米松等药物来缓解脑水肿,降低颅内压,运用止血药物及立血平等药物控制高血压及控制血糖实施对症治疗。在上述治疗的基础上再应用浓度为0.9%的氯化钠溶液2 mg静脉推注50 ml,每天1次,连续治疗10天,对治疗效果进行判定。结果 通过对所选的30例患者进行治疗,5例患者效果显著,18例患者有效果,7例患者无效,总有效率为76.67%,未见死亡和恶化的患者。结论 高血压脑出血患者治疗的关键是降低颅内压,控制脑水肿,在控制血糖、降血压、对症治疗的基础上运用纳洛酮实施治疗是最佳的方法。

Objective To explore the clinical treatment effect on patients with hypertensive cerebral hemorrhage. Methods Selected 30 cases with hypertensive cerebral hemorrhage from August 2012 to August 2014 in our hospital, given intravenous infusion of furosemide, mannitol, dexamethasone to alleviate cerebral edema, intracranial pressure, the use of hemostatic drugs and drugs to control blood pressure equal, at the same time to control the blood glucose, the implementation of symptomatic treatment. on the basis of the above treatment and application of the concentration of 2 mg sodium chloride solution intravenous injection of 50 ml 0.9%, treatment of 1 times a day, continuous treatment with 10 day for treatment of judgment. Results The treatment of the selected 30 patients, 5 cases of patients with signiifcant effect, in 18 patients, 7 patients ineffective, the total effective rate was 76.67%, no death and deteriorating patients. Conclusion The key to treatment of patients with hypertensive cerebral hemorrhage is to reduce intracranial pressure, control of cerebral edema, and lowering blood pressure in the control of blood glucose, based on symptomatic treatment with naloxone treatment is the best method.