脑卒中后癫痫72例临床分析

目的探讨脑卒中后癫痫发作与脑卒中的类型、病灶部位等因素的关系及其发作机制。方法选择近5年来我院收治的812例脑卒中患者的临床资料,就癫痫发作与脑卒中类型和部位的关系及癫痫发作的时间与脑卒中性质的关系等方面进行回顾性分析。结果全组812例脑卒中患者,继发癫痫者72例(8.87%),蛛网膜下腔出血与脑出血继发癫痫的发病率高于脑梗死(χ2=8.25,P<0.01;χ2=13.97,P<0.01),脑叶与蛛网膜下腔病灶继发癫痫的发病率高于基底节区(χ2=129.93,P<0.01;χ2=50.70,P<0.01),早发型癫痫以出血性脑卒中为主,迟发型癫痫则以脑梗死为主(χ2=18.09,P<0.01;χ2=8.86,P<0.01)。结论脑卒中后癫痫的发病率与脑卒中的类型及病灶部位有关,其发生的早晚与脑卒中的性质有关。     

国医大师刘祖贻运用温阳活血法治疗中风后遗症经验

国医大师刘祖贻认为中风后遗症多与肾虚（尤其是肾阳虚）有关,提出“脑髓阳生阴长”理论,治疗上采用温阳活血法,并以此治法创立验方芪仙通络方,临床效果显著。     

Imaging diagnosis: pituitary apoplexy in a cat

A 7-year-old male neutered domestic short-haired cat had depression for 5 months and acute blindness. A lesion at the level of the rostral and middle cranial fossae was suspected. A large pituitary mass compressing the optic chiasm was detected in magnetic resonance images and there was also evidence of recent intratumoral hemorrhage, leading to a diagnosis of pituitary apoplexy; these findings were confirmed at postmortem examination. Pituitary apoplexy is a clinical syndrome characterized by acute neurologic signs related to hemorrhagic infarction within a pituitary tumor. Pituitary apoplexy should be considered in patients with acute onset of blindness and altered mental status.     

温针灸治疗中风后尿潞留患者的临床观察

〔摘要〕目的观察温针灸在中风后尿潞留患者中的治疗作用、方法将61例中风后尿潞留留置导尿患者随机 分为治疗组33例,对照组28例,在进行基础治疗情况卜,治疗组采用温针灸治疗,对照组采用一般治疗,1次//d ,4 次为1个疗程,隔2 d开始卜1疗程,共治疗4个疗程,未满4个疗程己治愈者,停i1=治疗并统计治疗结果〔结果 温针灸组总有效率为84.90Ic,对照组为64.30Ic,温针组疗效优于对照组(P<0.05 );两组治疗后有效病例起效时间比 较,温针组优于对照组(P<0.05 )〔结论温针灸治疗中风后尿潞留有一定的临床意义,值得采用、