sah内科治疗 课件.pptVIP

Figure 2. Illustrative case no. 1. Control group. A, Initial computed tomography scan. B, Baseline angiogram. C, Day 8 angiogram documents diffuse and severe vasospasm in the right M1 and A1 segments (arrows). D, Day 10 computed tomography scan reveals bilateral middle cerebral artery infarctions. Figure 3. Illustrative case no. 2. NPRI group. A, Initial computed tomography scan. B, Baseline angiogram. C, Day 8 angiogram reveals wider proximal vessel diameters as compared with baseline (arrows). D, Day 14 computed tomography scan shows the absence of cerebral infarctions. 1，The incidence of angiographic vasospasm in proximal vessel segments was significantly reduced after implantationof NPRIs (73% control versus 7% NPRIs). Significant differences occurred also for the majority of distal vessel segments. 2，Computed tomography scans revealed a lower incidence of delayed ischemic lesions (47% control versus 14% NPRIs). 硫酸镁治疗 MASH Study: MgSO4 in Aneurysmal SAH, A Randomized Controlled Trial With an iv dosage schedule of 64 mmol MgSO4/d, serum Ma++ of 1-2mmol/L can easily be maintained without severe side effects for an extended period in a vast majority of patients with SAH. J Clin Pharm Therapeutics (2005) 30, 439–442 …suggests that MgSO4 reduces DCI subsequent poor outcome, but the results are not yet definitive. A next step should be a phase III trial to confirm the beneficial effect of MgSO4 therapy, with poor outcome as primary outcome. Stroke. 2005;36:1011-1015 国内神经外科共识提出MgSO4对脑血管痉挛有一定的防治作用(起始剂量 10mg/kg，维持剂量 30mg/kg·d） CVS防治神经外科专家共识 结论：Magnesium sulfate is a promising agent, but more evidence is needed before definite conclusions can be drawn. 《抗菌药物临床应用指导原则2015解读奥美拉唑对抗利血平引起的胃溃疡作用鼻出血的护理课件鼻中隔偏曲病人的护理查房 阿尔茨海默