大面积脑梗塞的临床特点和处理方法  

A Review of Massive Cerebral Infarction in 39 Cases

作　　者：袁波[1] 童晓欣[1] 张海鸥[1] 邹文[1] 吴军[1] 张季声[1] 

机构地区：[1]北京大学深圳医院神经内科,深圳518036

出　　处：《武汉大学学报（医学版）》2004年第4期462-463,461,共3页Medical Journal of Wuhan University

摘　　要：目的 :回顾 39例大面积脑梗塞的临床特点和处理方法。方法 :回顾性分析 39例急性大面积脑梗塞的临床诊治过程。结果 :39例存活 2 5例 ,存活率 6 4 .1% ,均遗留偏侧瘫痪 ,生活不能自理 ,其中 5例呈植物生存状态 ;死亡 14例。结论 :早期诊断 ,及时选择最适宜的治疗方案是对大面积脑梗塞患者抢救的关键。Objective: To find effective ways to treat patients with massive cerebral infarction.Methods: Make a retrospective clinical research on 39 cases with acute massive cerebral infarction.Results: Among 39 cases,14 cases were dead,25 cases were survival and the survival rate was 64.1%. 5 cases are in persistent vegetative state,and 20 cases remained moderate disability.Conclusion: Early patient selection and establishment of the optimum therapeutic plan is important to improve the outcome of the patients with massive cerebral infarction. Sometimes decompressive surgery can decrease mortality and improve outcome of the patients.

关 键 词：大面积脑梗塞 临床救治 

分 类 号：R743.33[医药卫生—神经病学与精神病学]