再论脑出血后继续出血及活血化瘀时间窗问题  

Once Again on Bleeding after Cerebral Hemorrhage and the Time Window for Therapy of “Promoting Blood Circulation and Removing Blood Stasis"

作　　者：杨万章[1] 张志兰[1] 张敏[1] 王占平[1] 

机构地区：[1]广东医学院附属深圳南山医院

出　　处：《中西医结合心脑血管病杂志》2004年第11期662-665,共4页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：既往认为高血压脑出血发生后迅速止血 ,近年研究结果表明有近 2 0 %的病人在两周以内继续出血 ,其中 6h～ 2 4h出血约 60 % ,再次中风、长期服用阿司匹林、超早期 ,使用甘露醇是危险因素 ;超早期短期使用止血药可减少出血危险 ,配用活血止血的中药更为理想 ;早期使用活血化瘀法可加速血肿的吸收 ,减轻脑水肿 ,改善脑血循环 ,但最好在 2 4h之后使用 ,亦不宜使用力量峻猛的破血逐瘀药。It had been taken for granted that when Brain Hemorrhage caused by hypertension occurs,patients can get hemostasis quickly,but researches in recent years indicated that near 20% of the patients might bleeding within 2 weeks,among them,about 60% within 6 h～24 h,and stroke,Aspirin taken for a long time,and mannitol used at the super-early stage are considered risk factors. Hemostasia drugs briefly used at the super-early stage can reduce hazards of bleeding,and the therapeutic effect may be better if accompanied by some Chinese herbs of “Promoting Blood Circulation and stopping bleeding”.The method of “Promoting Blood Circulation and Removing Blood Stasis” used at the super-early stage may help accelerate the absorption of hematoma,relieve hydrocephalus,and improve the circulation of brain,but it is strongly proposed that the method be taken 24h later after the onset,and herbs with strong effects of removing blood stasis be avoided.

关 键 词：继续出血 止血药 超早期 脑出血 时间窗 活血化瘀 血循环 长期服用 中风 血肿 

分 类 号：R277.7[医药卫生—中医学]