论文部分内容阅读
目的:探讨大面积脑梗死的病因、临床特点、诊断、治疗及预后。方法:对21例大面积脑梗死患者的临床表现和诊治进行回顾性分析。结果:21例大面积脑梗死患者经脱水降颅内压、清除氧自由基、改善脑循环等脑保护治疗后,存活16例,存活率76.2%;16例存活者均遗留偏瘫,生活部分自理。死亡5例,病死率为23.8%。结论:大面积脑梗死起病急、临床症状重、治疗效果和预后差。急性期应给予积极降低颅内压、控制脑水肿以及脑保护为主的综合治疗措施。
Objective: To investigate the etiology, clinical features, diagnosis, treatment and prognosis of large area cerebral infarction. Methods: The clinical manifestations and diagnosis and treatment of 21 cases of large area cerebral infarction were retrospectively analyzed. Results: Twenty-one cases of large area cerebral infarction were treated by dehydration and intracranial pressure, scavenging oxygen free radicals and improving cerebral protection. Sixteen patients survived, with a survival rate of 76.2%. Sixteen survivors left hemiparesis, . 5 died, the case fatality rate was 23.8%. Conclusion: The onset of acute cerebral infarction, severe clinical symptoms, the treatment effect and poor prognosis. Acute phase should be given to actively reduce intracranial pressure, cerebral edema and brain protection-based comprehensive treatment measures.