50例大面积脑梗塞临床分析  

Clinical Analysis of 50 Cases of Massive Cerebral Infarction

作　　者：陈春艳[1,2] 岳林海 王乐 

机构地区：[1]巴彦淖尔市医院神经内一科,内蒙古临河015000 [2]巴彦淖尔市医院彩超室,内蒙古临河015000

出　　处：《内蒙古医学杂志》2017年第12期1424-1425,共2页Inner Mongolia Medical Journal

摘　　要：目的探讨大面积脑梗塞的临床特征。方法在我科2012年至2016年的住院患者中选择经头颅CT或MRI检查证实的大面积脑梗塞患者50例进行分析。结果大面积脑梗塞患者临床特点主要有起病急骤、病情进展快、症状重等,临床表现多种多样,主要有意识障碍、言语功能障碍、呕吐、肢体瘫痪、抽搐、大小便失禁等。经治疗后50例大面积脑梗塞患者存活41例,大约占80%,9例患者经治疗后效果差,呼吸、循环衰竭家属放弃治疗,自动出院。结论大面积脑梗塞患者的病情危重、起病急骤,预后差,根据其临床特征、具体情况要做到尽快明确诊断、积极治疗,治疗上以脱水、控制颅内压为主,尤其早期治疗更重要,要密切监测血压,发病初期溶栓治疗要严格判断是否有指征,以减少梗塞后出血的发生。Objective To investigate the clinical characteristics of large area cerebral infarction.Methods A total of 50 patients with cerebral infarction confirmed by CT or MRI in our hospital from2012 to2016 were analyzed.Results The clinical features of large area cerebral infarction patients are mainly in sudden onset,disease symptoms,fast weight,a variety of clinical manifestations include consciousness disorder,speech dysfunction,vomiting,paralysis,convulsions,incontinence,etc.After treatment,50 cases of large area cerebral infarction patients survived in 41 cases,accounting for about 80%,after the treatment of poor results in patients with 9 cases,respiratory,circulatory failure family to give up treatment,automatic discharge.Conclusion The patients with large area cerebral infarction severity,abrupt onset,poor prognosis,according to its clinical characteristics and specific conditions should be clear as soon as the diagnosis,active treatment,treatment with dehydration,intracranial pressure control,especially the early treatment is more important to the close monitoring of blood pressure,incidence of early thrombolytic therapy to determine whether there is a strict indication and to reduce the incidence of hemorrhage after infarction.

关 键 词：大面积 脑梗塞 临床特点 

分 类 号：R742[医药卫生—神经病学与精神病学]