Expansion treatment and microemboli monitoring of middle cerebral artery stenosis with acute cerebral infarction
Objective To evaluate prognosis of the patients in acute cerebral infarctions with middle cerebral artery stenosis after expansion treatment. Methods 180 patients in acute cerebral infarctions with middle cerebral artery stenosis were chooser! in department of neurology, 89 patients were treated with volume expansion therapy, 91 patients were treated with conventional therapy. Two groups were detected blood flow rate of middle cerebral artery stenosis with TCD on admission, 3 days, 7 days and 14 days, and measured the blood pressure and recorded the a-mount of microemboli at the same time, and measured the clinical neurologic impairment and compared therapeutic effect after 14 days. Results The total effective rate of the fluid expansion group patients was higher than that of the control group patients, that is significant P<0. 01). The amount of microemboli in the fluid expansion group patients was much more than that in the control group patients, but that was no significant. Conclusions The volume expansion therapy can improve the patients in acute cerebral infarctions with middle cerebral artery stenosis.