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Clinical observation on efficacy of torasemide treating cerebral edema after traumatic subarachnoid hemorrhage
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- Author:
- No author available
- Journal Title:
- CHINA MODERN MEDICINE
- Issue:
- 33
- DOI:
- 10.3969/j.issn.1674-4721.2012.33.012
- Key Word:
- 托拉塞米;呋塞米;脑水肿;创伤性蛛网膜下腔出血
Abstract： 目的 观察托拉塞米治疗创伤性蛛网膜下腔出血后脑水肿的疗效.方法 将26例创伤性蛛网膜下腔出血患者随机分为两组,在给予相同常规综合治疗的同时,治疗组给予托拉塞米20 mg及20%甘露醇125 mL,对照组给予呋塞米20 mg及20%甘露醇125 mL,两组均间隔6 h给药,7 d后逐渐减量.腰椎穿刺测量用药前后颅内压力变化情况,抽取静脉血送检电解质,及记录24 h尿量.结果 于疗程相同时间段,治疗组颅内压降低明显低于对照组,24 h尿量显著多于对照组;治疗组电解质紊乱发生率低于对照组.结论 托拉塞米协同甘露醇治疗创伤性蛛网膜下腔出血后脑水肿效果理想.
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