充分手术减压治疗大面积脑梗死(附9例分析)  

Surgical Decompression Fully and Early Stage Are the Key to Rescue the Large Area Acute Cerebral Infarction

作　　者：陈保忠[1] 张卫华[1] 郑志[1] 张宏敏[1] 虞云[1] 

机构地区：[1]广东省佛山市第二人民医院神经外科,528000

出　　处：《实用心脑肺血管病杂志》2008年第12期55-56,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨急性大面积脑梗死的临床特点及处理对策。方法回顾性分析9例急性大面积脑梗死患者的临床诊疗资料。结果9例患者中死亡1例,存活8例,其中植物状态生存1例,存活率为8/9,均遗留偏侧瘫痪,随访12个月后,6例生活能自理。结论大面积脑梗死患者意识障碍、偏瘫发生率高,易继发出血性梗死,并发症多,预后差;早期充分手术减压是治疗大面积脑梗死的关键。Objective To summarize the clinical features and treatment of large area acute cerebral infarction. Methods The clinical data of 9 cases of large area acute cerebral infarction were reviewed and analyzed respectively. Results Among all cases, 1 cases died, 8 survived. The survival rate was 88. 8%. Hemiparalysis occurred in all cases, 5 cases were able to take care of themselves. Conclusion The disease has a high incidence rate of conscious disturbance, hemiparalysis. It tends to be succeeded by hemorrhagic infarct, complications and poor prognosis. Surgical decompression fully and early stage is the key to rescue the large area acute cerebral infarction.

关 键 词：脑梗死 减压术 外科 预后 

分 类 号：R743.33[医药卫生—神经病学与精神病学]