24例大面积脑梗死临床及预后分析  

Clinical and Prognosis Analysis of Massive Cerebral Infarction in 24 Cases

作　　者：孟庆森[1] 

机构地区：[1]安徽省淮北市人民医院神经内科,235000

出　　处：《中华全科医学》2009年第4期355-357,共3页Chinese Journal of General Practice

摘　　要：目的分析大面积脑梗死的临床及影响预后的因素,总结大面积脑梗死常见病因与治疗体会。方法对24例大面积脑梗死患者的临床资料进行回顾性分析。结果高龄、高血压病、糖尿病、房颤等是大面积脑梗死的主要病因;脑疝、多器官功能衰竭是主要致死因素。结论积极控制高血压、高血糖,房颤患者口服华法林是预防大面积脑梗死发生的重要因素。脑疝是急性期死亡的主要因素。大面积脑梗死患者应积极防治各种并发症,重点是控制脑水肿、降低颅内压和防治多脏器功能衰竭;保持呼吸道通畅,尽早气管切开使用呼吸机辅助通气是降低大面积脑梗死死亡率的有效方法。Objective To investigate the etiological factor of massive cerebral infarction and summarize the experience of diag- nosis and treatment. Methods The clinical data of 24 cases with massive cerebral infarction were analyzed retrospectively. Re- suits The common cause of massive cerebral infarction were hypertension, diabetes mellitus, atrial fibrillation. The cerebral her- nia and multiple organ failure caused death frequently. Conclusion To control the hypertension and diabetes mellitus, administer the patients with atrial fibrillation with Warfarin can effectively reduce the incidence of massive cerebral infarction. The cerebral hernia was the main cause of high mortality. The active prevent and treatment of complications such as controlling cerebral ede- ma, reducing intracranial pressure, curing multiple organ failure, unimpeded respiratory tract ventilator or ventilator-assisted breathing can decrease the mortality obviously.

关 键 词：脑梗死 大面积 房颤 病因 预后 

分 类 号：R473.33[医药卫生—护理学]