偏侧颅骨切除术治疗恶性大脑中动脉梗死  

Hemicraniectomy for malignant middle cerebral artery infarction

作　　者：徐国华[1] 张庆九[2] 

机构地区：[1]河北省中医院骨伤科,石家庄050011 [2]河北医科大学第二医院神经外科,石家庄050011

出　　处：《国际脑血管病杂志》2014年第4期293-299,共7页International Journal of Cerebrovascular Diseases

摘　　要：恶性大脑中动脉梗（malignant middle cerebral artery infarction，mMCAI）患者的转归很差，药物保守治疗的病死率高达80％。近几年发表的几项随机对照试验显示，偏侧颅骨切除术可显著降低mMCAI的病死率，是一种挽救患者生命的治疗措施，即使在年龄〉60岁的患者。The outcome of patients with malignant middle cerebral artery infarction （mMCAI） is very poor. The mortality of conservative medical treatment is as high as 80%. Several randomized controlled trials published in recent years have shown that hemicraniectomy can significantly reduce the mortality of mMCAI. It is a life-saving therapeutic measure for patients, even if so in patients older than 60 years of age.

关 键 词：梗死 大脑中动脉 减压术 外科 神经外科手术 

分 类 号：R743.33[医药卫生—神经病学与精神病学]