摘要
目的探讨大面积脑梗死的手术治疗方法及疗效。方法对12例大面积脑梗死的手术时机、术式、疗效进行分析。其中5例外减压;7例行内、外减压。结果12例病人全部存活,功能均有不同程度恢复。结论减压术是治疗大面积脑梗塞的重要救命措施,但要把握手术时机和术式,术前强力脱水后瞳孔回缩的病人预后良好。
Objective To explore the methods and outcome of operative treatment of massive cerebral infarction. Methods Operative opportunity, methods and curative effect for 12 patients with massive cerebral infarction were analyzed. External decompression was performed on all of the 12 patients. In addition, 7 of them received internal decompression. Results All of the 12 patients survived and their neural functions recovered to some different extent. Conclusion Surgical decompression is a life-saving maneuver for treating the massive cerebral infarction, but it is important to grasp the opportunity and select the suitanle operative method. The patients whose dilated pupils can contract temporarily after preoperative reinforced dehydration may have better prognosis.
出处
《中华神经医学杂志》
CAS
CSCD
2004年第2期128-129,共2页
Chinese Journal of Neuromedicine
