Albert H H, Franz H
MMW Munch Med Wochenschr. 1977 Dec 16;119(50):1615-20.
Apoplexy is a common clinical picture. The clinical diagnosis is unsatisfactory. The procedure hitherto, in which angiographic clarification of the intracranial space-occupying lesions and of the extracranial vascular changes is almost always performed, will change with the introduction of computer tomography in favor of the bloodless method (Doppler echography). Angiography will then only be carried out in proven hemodynamically active stenosis after the neurological symptoms have receded. The treatment of ischemic cerebral disease is a task for the hospital. Transient ischemic attacks also require hospital supervision, preferably under conditions of intensive care. In addition to support from infusions and digitalization, Actovegin infusions are standard therapy.
中风是一种常见的临床病症。临床诊断并不令人满意。迄今为止,几乎总是要对颅内占位性病变和颅外血管变化进行血管造影检查来明确病情,随着计算机断层扫描的引入,这种情况将会改变,转而倾向于采用无创伤性方法(多普勒超声检查)。此后,只有在神经症状消退后,经证实存在血流动力学活跃性狭窄时才会进行血管造影。缺血性脑病的治疗是医院的一项任务。短暂性脑缺血发作也需要住院监护,最好是在重症监护条件下。除了输液和洋地黄化的支持外,静脉输注爱维治是标准治疗方法。