261例脑梗塞的临床资料分析

Diagnosis and Treatment of Brain Infarction——An Analysis of 261 Cases

本文报告我院1958～1979年收治的261例脑梗塞的临床资料,结合文献着重讨论有关诊疗问题。临床资料一、一般资料:1.相对发病频率:1958～1974年收治急性器质性脑血管病415例,其中脑梗塞(血栓形成)159例,脑出血208例,蛛网膜下腔出血30例;脑梗塞占同期卒中病人总数的38.31％。

A clinial analysis of 261 cases of brain infarction admitted from 1958～1979 was presented. The greatest incidence of brain infarction was seen in mucb pa- tients of agcs of 45 to 64, generally having a background of hypertension or cerebral arteriosclcrosis. In most conditiolls the attack happened to while sleep - ing. Abrupt hemiparesis, the most common symptom, was noted at the onset. Carotid arteriograph was performed in 18 patients, but 5 cases of them appear- ed to have complications in connection with arteriograph. This article also deal- ed with the relationship between the clnical features and the findings of the optic fundus. Somnolence was considered as the indication of the early cerebral edema. Of . the group of conservative management, the effect intravenous infusion of 25％ Angelica sinensis showed the best effect. Operations were performed on 4 cases, 3 of them with remarkable results of recovery.