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脑血栓的治疗方法汇总(Summary of treatment methods for cerebral thrombosis)
脑血栓的治疗方法汇总(Summary of treatment methods for cerebral thrombosis)
Methods of treatment for cerebral thrombosis are summarized in 2010-05-29 08:28:05 sources: Click: 54
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Cerebral thrombosis should be treated in an early and timely manner, which is of great significance for reducing mortality, alleviating sequelae and promoting functional recovery. The principle of treatment in acute stage is to improve the brain circulation, prevent brain edema and cure the complication.
(1) improve the blood circulation of the brain: restore blood circulation, and generally use expansion and vasodilator treatment, can improve the blood circulation of the brain, increase cerebral blood flow, promote the establishment of collateral circulation, in order to narrow the infarct size.
Commonly used drugs with low molecular dextran, the 706 generation of plasma, nicotinic acid, papaverine, Venoruton, 654-2, compound Dan injection, ligustrazine, anti thrombus pill, pentoxifylline, senc Sibeline, etc.. Low molecular dextran has expanded blood volume, decreased blood viscosity, improved microcirculation, and prevented red cell aggregation. Drop 250 - 500 ml per day, and use for 7 to 10 days.
The method of combination of dehydration and dilatation is used to treat acute cerebral infarction, the effective rate is 90%.
Specific method: after the onset, that is, use 20% mannitol 250 ml, 1 times a day intravenous drip, there are headache, nausea, vomiting or conscious disturbance, 2 times a day. 3 - 5 days, and cerebrovascular protection agent, such as Venoruton intravenous or papaverine infusion, 1 times daily, 7 l0 for L treatment.
(2) anticoagulant therapy: suitable for patients with hypercoagulable state, the purpose is to prevent the expansion of thrombosis, aggravating the disease. Prior to anticoagulation therapy, the brain CT scan should usually be performed and proved to be ischemic. There are bleeding tendency, such as active ulcer disease, serious liver and kidney disease and inf
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