摘要
目的:研究临床上大面积脑梗死的发病特点及其预后。方法:对具有典型脑梗塞症状的48例入院患者经核磁共振及头部CT证实脑大面积脑梗塞,分析其临床表现及其预后康复情况。结果:在这48例患者中伴有出血性脑梗塞10例(21%),死亡14例,病死率31%,33例致残,致残率98%,大面积脑梗塞患者预后较差。结论:对于大面积脑梗塞患者,应及早做出准确诊断,积极改善缺血及再灌注治疗,高压氧仓改善脑细胞缺氧,减轻损伤,对于大面积脑梗塞患者极易出现出血性脑梗塞,临床上应极力尽早治疗,行必要的康复治疗,对于改善患者的生存率和预后意义深远。
Objective To study the clinical characteristics of large area of cerebral infarction and its outcome. Methods The typical symptoms of cerebral infarction in 48 patients were admitted to the hospital by NMR and head CT confirm brain area cerebral infarction. Analysis the clinical manifestations and rehabilitation outcome. Results In the 48 patients with hemorrhagic cerebral infarction in 10 （21%）, death in 14 cases, case fatality ratio was 31%, 33 cases of disability, 98% morbidity, large area cerebral infarction patients with poor prognosis. Conclusion Cerebral infarction patients with large area, should be early to make an accurate diagnosis, and actively improve ischemia and reperfusion therapy, high pressure YangCang improve oxygen to brain cells, reduce the damage, with large area cerebral infarction patients appear easily hemorrhagic cerebral infarction, clinical treatment as soon as possible we should strongly, do the necessary rehabilitation, to improve survival and prognosis of meaning.
出处
《中国美容医学》
CAS
2012年第09X期161-162,共2页
Chinese Journal of Aesthetic Medicine
关键词
大面积脑梗塞
出血性脑梗塞
massive brain infarction
hemorrhage in fartion
