大面积与非大面积脑梗死的临床比较  

Clinical study of comparison between large and non-large cerebral infarction

作　　者：冯瑞晶[1] 宋宏杰[1] 

机构地区：[1]北京丰台医院神经内科,100070

出　　处：《中国现代医药杂志》2012年第6期45-46,共2页Modern Medicine Journal of China

摘　　要：目的探讨大面积与非大面积脑梗死患者的危险因素及预后。方法回顾性分析2009年1月～2011年11月收治的280例急性脑梗死患者的临床资料,比较大面积脑梗死组与非大面积组(对照组)患者在危险因素、出院时美国国立卫生研究院卒中量表(National Institutes of Health stroke scale,NIHSS)评分及死亡例数等的差异。结果 280例脑梗死患者中大面积脑梗死42例(15%);大面积梗死组女性比例、房颤(fibrillation atrial,AF)比例、出院NIHSS评分及病死率均较对照组高(P<0.05)。结论大面积脑梗死病死率高、预后差,应及早诊治,改善预后。Objective To observe the risk factors and prognosis of large and non-large cerebral infarction. Methods The clinical data of 280 patients with acute infarction hospitalized in our hospital from Jan 2009 to Nov 2011 were retrospective- ly reviewed. Compared the risk factors,NIHSS of discharge and mortality between two groups. Results There were 42 cases of large infarctions in 280 cases cerebral infarctions（15%）. Compared to the control group, patients with large infarctions had high- er rate of famale, AF, NIHSS of discharge and mortality （P〈0.05）. Conclusion Patients with large infarctions have high mor- tality and bad prognosis. Early diagnosis and correct treatments should be done to improve prognosis.

关 键 词：大面积脑梗死 脑栓塞 危险因素 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]