摘要
目的:总结急性大面积脑梗死的临床特点及处理对策。方法:回顾性分析52例急性大面积脑梗死的临床诊疗资料。结果:52例中病死5例,病情恶化自动出院4例;存活43例,存活率82.7%,遗留偏侧瘫痪,大多生活不能自理。结论:大面积脑梗死意识障碍、偏瘫及侧视麻痹发生率高,易继发出血性梗死,并发症多,预后差;早期脱水降颅压,防治脑疝是抢救的关键。
Objective:To summarize the clinical features and treatment of large area acute cerebral infarction. Methods: The clinical data of 52 cases of large area acute cerebral infarction were reviewed and analyzed respectively. Results:Among all cases,5 cases died, 4 were discharged automatically for aggravation of their state and 43 survived. The survival rate was 82.7%. Hemiparalysis occurred in most cases,most of whom were unable to take care of themselves. Conclusions:The disease has a high incidence rate of conscious disturbance, hemiparalysis and side-glance paralysis. It tends to be succeeded by hemorrhagic infarct, complications and poor p^is. Lowering the intracranial pressure and prevention and cure of cerebral hernia are the key to the rescue of large area acute cerebral infarction.
出处
《蚌埠医学院学报》
CAS
2005年第5期396-398,共3页
Journal of Bengbu Medical College
关键词
脑梗死
断层摄影术
X线计算机
cerebral infarction
tomography,X-ray computed