摘要
目的 :探讨大面积脑梗死高死亡率原因及防治对策。方法 :对 72例大面积脑梗死临床资料进行分析。结果 :梗死灶越大病死率越高 ,急性肾功能衰竭 (ARF)发生率也越高 ;有并发症者病死率显著高于无并发症者 ( P <0 0 1)。ARF居并发症首位 ,有 44 4%患者并发ARF,死亡病例中有 60 5 %并发ARF;并发ARF者病死率 ( 75 % )明显高于无ARF者( 35 % ) (P <0 0 1)。结论 :大面积脑梗死死亡原因主要为脑疝及并发ARF等 ,因而在救治脑水肿同时应注意防治ARF。新利尿合剂 (多巴胺、立其丁、速尿 )运用可使大多数ARF得到纠正。
Objective:To evaluate the reasons and prevention and cure measures of large cerebral infarction high mortality.Methods:To analyse clinical material of 72 cases of large cerebral infarction.Results:Larger lesion of infarction makes higher death rate and the incidence rate of acute renal failure(ARF).The mortality of patients with complications is significantly higher than that of without complications(P<0.01).ARF complication ranks first of all.For all cases there are 44.4% with ARF Complication but 60.5% with ARF Complication in death cases.The mortality of patients with ARF is significantly higher than that of without ARF(P<0.01).Conclusion:The main causes of large cerebral infarction death are cerebral hernia and supervention with ARF.So we must pay attention to the prevention and cure of ARF while treating cerebral edema.The use of new diuretic mixture(Dopamine,Regitine,Furosemide)is helpful in treating most complications of ARF.
出处
《河北医药》
CAS
1999年第3期141-143,共3页
Hebei Medical Journal
