VON HAGEN K O
Calif Med. 1950 Oct;73(4):332-3.
Acute cerebral thrombosis and embolism give rise to arterial spasm, edema, and anoxia of the cerebral tissues supplied by the affected artery or arteries. Sympathetic block induced by injecting the stellate ganglion with procaine appears to relieve spasm and results in improved cerebral circulation and clinical improvement in a significant number of cases. Sympathetic block should be combined with the usual supportive measures and not infrequently with anticoagulants. Every effort should be made to institute treatment as soon as possible after the onset of symptoms.
急性脑血栓形成和栓塞可导致动脉痉挛、水肿以及受影响动脉所供应脑组织的缺氧。向星状神经节注射普鲁卡因引起的交感神经阻滞似乎可缓解痉挛,并在相当多的病例中改善脑循环及临床症状。交感神经阻滞应与常规支持措施相结合,且常常要与抗凝剂联合使用。症状出现后应尽快全力开展治疗。