血塞通治疗重型颅脑损伤的临床研究

目的：观察血塞通治疗重型颅脑损伤的临床效果。方法：按标准选取重型颅脑损伤病人87例，并随机分成对照组和试验组。对照组行常规治疗，试验组在常规治疗的基础上加用血塞通治疗。治疗后1周、2周，分别测颅内压(ICP)和行格拉斯哥昏迷评分(GCS)，3月后行格拉斯哥预后分级(GOS)，比较两组的疗效。结果：试验组ICP低于对照组，GCS高于对照组，GOS优于对照组，差异均有显著性意义(P＜0．05)。结论：血塞通对重型颅脑损伤病人具有明显的临床治疗效果。     

慢性硬膜下血肿的治疗和机理探讨

慢性硬膜下血肿系指头部外伤3周以后出现脑受压症状，临床发病并非罕见，常因症状不典型而被误诊，如果诊断及时，治疗恰当，会收到满意效果。我院1990-2004年间收治34例，现报告如下：     

镁离子治疗重型颅脑损伤的临床研究

目的　观察镁离子治疗重型颅脑损伤的临床效果。方法　按标准选取重型颅脑损伤病人 80例 ,并随机分成对照组和试验组。对照组行常规治疗 ,试验组在常规治疗的基础上加用镁离子治疗。治疗前和治疗后 2 4、72h、1周及 2周 ,分别测血浆内皮素 (ET)含量 ,治疗前和治疗后 1周、2周行格拉斯哥昏迷评分 (GCS) ,3月后行格拉斯哥预后分级 (GOS) ,比较两组的疗效。结果　治疗后试验组血浆ET含量低于对照组 ,GCS高于对照组 ,GOS优于对照组 ,差异均有显著性意义 (P <0 0 5 )。结论　镁离子对重型颅脑损伤病人具有明显的临床治疗效果     

Clinical Observation on Effect of Xuesaitong Injection (血塞通注射液) as Auxiliary Treatment of Severe Craniocerebral Injury

Objective To evaluate the effect of Xuesai-tong injection (XSTI, 血塞通注射液 , a preparation of Panax Notoginseng) as auxilliary treatment of severe craniocerebral injury. Methods Eighty-seven patients with severe craniocerebral injury were selected and randomly divided into the treated group (n=44) and the control group (n = 43), they were treated with conventional treatment, and XSTI was given additionally to the treated group. Intracranial pressure (ICP) and Glasgow coma score (GCS) of all patients were measuredafter 1 or 2-week treatment, and Glasgow outcome scale (GOS) of them was determined 3 months later. Then the therapeutic effect in the two groups were compared. Results After treatment, the ICP was lower, GCS higher and GOS better in the treated group than those in the control group significantly, all showing statistical significance (P<0.05). Conclusion XSTI has marked clinical therapeutic effect in treating patients with severe craniocerebral injury.Original article on CJITWM (Chin) 2004 ;2     

血塞通注射液联合西药治疗重型颅脑外伤的临床观察

目的观察血塞通注射液(简称血塞通)治疗急性重型颅脑外伤的临床效果。方法按标准选取重型颅脑外伤患者87例,随机分成两组,对照组(43例)行常规治疗,治疗组(44例)在常规治疗的基础上加用血塞通治疗,治疗后1、2周分别测颅内压(ICP)和行格拉斯哥昏迷评分(GCS),3个月后行格拉斯哥预后评分(GOS),比较两组的疗效。结果治疗组ICP低于对照组,GCS高于对照组,GOS优于对照组,3项指标两组比较差异均有显著性(P<0．05)。结论血塞通对重型颅脑外伤患者具有明显的临床治疗效果。     

150例颅脑损伤及其复合伤的诊治体会

中、重、特重型颅脑损伤合并其它部位损伤，处理上比单纯的颅脑损伤复杂、困难。我院1985～2003年共收治这类损伤150例，占同期颅脑损伤12．5％。诊治体会如下。