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[缺血性脑血管意外的胃肠外己酮可可碱治疗。初步结果]

[Parenteral pentoxifylline treatment of ischemic cerebrovascular accident. Preliminary results].

作者信息

Schneider R, Kiesewetter H

出版信息

Dtsch Med Wochenschr. 1982 Nov 5;107(44):1674-7. doi: 10.1055/s-2008-1070186.

Abstract

Ten patients with ischaemic cerebrovascular accident were given pentoxifylline, 1.2-1.5 g daily parenterally for ten consecutive days. At the beginning of treatment, on the first and then every third day the following rheological measurements were made: yield shear stress, plasma viscosity, haematocrit, erythrocyte aggregation and deformability. In the course of treatment there was a highly significant improvement in the first and last functions. Plasma viscosity and erythrocyte aggregation did not change significantly. Haematocrit was changed in two patients by isovolaemic haemodilutions. Clinically there was improvement in nine patients; one patient died as a result of severe brainstem ischaemia.

摘要

10例缺血性脑血管意外患者接受了己酮可可碱治疗,每天1.2 - 1.5克,连续10天经胃肠外给药。在治疗开始时,于第1天,然后每隔3天进行以下流变学测量:屈服切应力、血浆粘度、血细胞比容、红细胞聚集性和变形性。在治疗过程中,第一项和最后一项功能有极显著改善。血浆粘度和红细胞聚集性无明显变化。2例患者因等容性血液稀释导致血细胞比容改变。临床上9例患者病情改善;1例患者因严重脑干缺血死亡。

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