健康之路
健康之路
건강지로
HEALTH
2014年
4期
34-34
,共1页
甘露醇%高血压脑出血%急性期
甘露醇%高血壓腦齣血%急性期
감로순%고혈압뇌출혈%급성기
Mannitol%Hypertensive cerebral hemorrhage%Acute phase%Intracerebral rebleeding
目的：观察甘露醇使用对急性期高血压脑出血患者的影响.方法：选取高血压脑出血急性期患者150例,分为三组,即大剂量甘露醇治疗组、小剂量甘露醇治疗组和对照组.两治疗组入院后12h 内分别给予250ml 和125 ml 20％的甘露醇静脉快速输注,对照组除不输甘露醇外,其他处理同治疗组.三组患者入院即行急诊头颅 CT 检查,发病24h 后复查头颅 CT,观察血肿是否增大.结果：入院时三组患者脑内血肿的量无显著差异(P＞0．05).入院后24h,大剂量甘露醇治疗组、小剂量甘露醇治疗和对照组血肿量分别为(19．69±9．13)ml、(15．38±7．89)ml 和(15．60±7．63)ml,大剂量甘露醇治疗组的血肿量明显大于其余两组(P＜0．05).结论：脑出血急性期大剂量使用甘露醇可引起血肿增大,小剂量使用或不使用甘露醇对血肿的大小无明显影响.
目的：觀察甘露醇使用對急性期高血壓腦齣血患者的影響.方法：選取高血壓腦齣血急性期患者150例,分為三組,即大劑量甘露醇治療組、小劑量甘露醇治療組和對照組.兩治療組入院後12h 內分彆給予250ml 和125 ml 20％的甘露醇靜脈快速輸註,對照組除不輸甘露醇外,其他處理同治療組.三組患者入院即行急診頭顱 CT 檢查,髮病24h 後複查頭顱 CT,觀察血腫是否增大.結果：入院時三組患者腦內血腫的量無顯著差異(P＞0．05).入院後24h,大劑量甘露醇治療組、小劑量甘露醇治療和對照組血腫量分彆為(19．69±9．13)ml、(15．38±7．89)ml 和(15．60±7．63)ml,大劑量甘露醇治療組的血腫量明顯大于其餘兩組(P＜0．05).結論：腦齣血急性期大劑量使用甘露醇可引起血腫增大,小劑量使用或不使用甘露醇對血腫的大小無明顯影響.
목적：관찰감로순사용대급성기고혈압뇌출혈환자적영향.방법：선취고혈압뇌출혈급성기환자150례,분위삼조,즉대제량감로순치료조、소제량감로순치료조화대조조.량치료조입원후12h 내분별급여250ml 화125 ml 20％적감로순정맥쾌속수주,대조조제불수감로순외,기타처리동치료조.삼조환자입원즉행급진두로 CT 검사,발병24h 후복사두로 CT,관찰혈종시부증대.결과：입원시삼조환자뇌내혈종적량무현저차이(P＞0．05).입원후24h,대제량감로순치료조、소제량감로순치료화대조조혈종량분별위(19．69±9．13)ml、(15．38±7．89)ml 화(15．60±7．63)ml,대제량감로순치료조적혈종량명현대우기여량조(P＜0．05).결론：뇌출혈급성기대제량사용감로순가인기혈종증대,소제량사용혹불사용감로순대혈종적대소무명현영향.
Objective:To observe the effects of mannitol in patients with acute hypertensive intracerebral hemorrhage.Methods:Of patients with acute hypertensive cer-ebral hemorrhage,1 50 cases were divided into three groups,namely high-dose mannitol treatment group,low-dose mannitol treatment group and the control group.After admission the two treatment groups were given 250ml and 1 25 ml 20% mannitol rapid intravenous infusion,in addition to not lose control group mannitol,the remainder deal with the treatment group within 1 2h.Three groups of patients that underwent emergency admission head CT,24h after the onset of review of head CT,the hematoma was observed whether to expand.Result:There was no significant difference(P>0.05)the amount of the three groups of patients on admission intracerebral hematoma.Af-ter admission 24h,high-dose mannitol treatment group,low-dose mannitol treatment and control groups respectively hematoma(1 9 .6 9 ±9 .1 3)ml,(1 5 .38±7.89)ml and (1 5 .60±7.63)ml,high-dose mannitol treatment group the hematoma was significantly larger than the other two groups(P<0.05).Conclusion:Acute cerebral hemorrhage caused by high doses of mannitol may hematoma expansion,with or without the use of smal doses of mannitol had no effect on the size of the hematoma.
