大面积脑梗死的临床特点与治疗分析报告  

Clinical Characteristics and Treatment of Cerebral Infarction in Large Area

作　　者：尹世琦[1] 杨桂燕[1] 

机构地区：[1]黑龙江省电力医院,哈尔滨150030

出　　处：《中国继续医学教育》2015年第22期53-54,共2页China Continuing Medical Education

摘　　要：目的分析大面积脑梗死的临床特点,总结治疗经验。方法回顾2010年1月~2014年12月,医院收治的大面积脑梗死患者62例临床资料。结果首发症状表现主要为偏瘫、意识障碍、语言障碍、眩晕、头痛等;累及大脑前、中、颈内动脉占89.39%;治疗后,好转33例、恶化9例、死亡20例。结论大面积脑梗死发病及进展迅速,预后影响因素多,死亡率致残率高,预后差,需及早诊断,控制基础疾病、防治并发症,并积极采用药物联合治疗。Objective To analysis of large area cerebral infarction clinical characteristics, summarize the experience＇of treatment. Methods A total of massive cerebral infarction of 62 eases of patients were chosen in January 2010 to December 2014 in our hospital. Results The first symptoms were hemiplegia, disturbance of consciousness, language barrier, vertigo, headache, 89.39% of the posterior cerebral artery, middle cerebral artery and arteria carotis interna were damaged. After treatment 33 cases improved, 9 cases aggravated, 20 eases died. Conclusion The massive cerebral infarction occures urgent and progresses quickly, the prognosis factors are complicated. Mortalityis hgh and morbidity prognosis is poor. Early diagnosis, control of the basic diseases, prevention and treatment of complications, and the active adoption of drug combination therapy is necessary.

关 键 词：大面积脑梗死 首发症状 治疗 

分 类 号：R743[医药卫生—神经病学与精神病学]