大面积脑梗死外科手术治疗的可行性分析  

Feasibility Analysis of Surgical Treatment to Massive Cerebral Infarction

作　　者：岳洪胜[1] 刘殿玮[1] 徐群[2] 张爱军[1] 朱捷[1] 

机构地区：[1]山东大学附属济南市中心医院神经外科,山东济南250013 [2]山东省济南卫生学校,山东济南250022

出　　处：《医学与哲学（B）》2011年第11期26-27,共2页Medicine & Philosophy(B)

摘　　要：35例大面积脑梗死患者,其中18例采用外科手术治疗(大骨瓣减压术),内科治疗17例,治疗后1、6个月以格拉斯哥预后评分(GOS)和Barthel指数记分法评定临床疗效,手术组比内科治疗组的死亡率及重残率明显降低(P<0.01),有统计学意义。由此,探讨大面积脑梗死的手术时机及治疗效果。35 patients with massive cerebral infarction were divided into two groups on the basis of different clinical treat ments. 18 of these patients underwent surgical treatment （Hemicraniectomy） combined with medical treatment while oth ers were only given medical treatment. The clinical curative effect was respectively evaluated 1 and 6 months later accord ing to Glasgow outcome score （GOS） and Barthel Index. Both the morbidity and mortality of the operated group were re duced and had significant difference as compared with control group. We try to investigate the curative effect and the surgi cal opportunity for the massive cerebral infarction.

关 键 词：大面积脑梗死 大骨瓣减压术 手术时机 

分 类 号：R743[医药卫生—神经病学与精神病学]