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目的探讨脑分水岭梗死的临床诊治措施。方法回顾分析2005年8月至2009年10月收治的CWI患者30例的临床资料。30例均予以常规血液稀释及抗血小板凝集等治疗,扩血管药物原则上不用。有7例发病在12h内患者给予蝮蛇降纤酶溶栓治疗,5例疗效满意,2例无效。1例血压过低者采取升压措施。结果按照全国第四届脑血管病会议制订的标准评估疗效,本组基本痊愈19例,明显好转6例,好转3例,无效2例。结论如能早期诊断,治疗原则同一般脑梗死,一般予后良好。由于全身低血压所致者必须针对原发疾病加以处理,尽快纠正低血压状态,改善全身营养状态,注意纠正水电解质紊乱。
Objective To investigate the clinical diagnosis and treatment of cerebral watershed infarction. Methods The clinical data of 30 patients with CWI admitted from August 2005 to October 2009 were retrospectively analyzed. 30 cases were given conventional hemodilution and anti-platelet aggregation therapy, vasodilator drugs in principle do not. In 7 patients, the patients were treated with fibula fibrinolytic enzyme thrombolytic therapy within 12 hours. Five patients were satisfied and two were ineffective. 1 case of hypotension were taken to step up measures. Results According to the Fourth National Cerebrovascular Disease Conference to develop the standard assessment of efficacy, the basic recovery of 19 cases in this group, significantly improved in 6 cases, improved in 3 cases, 2 cases. Conclusion If early diagnosis and treatment of the same principles of general cerebral infarction, the general prognosis is good. Due to systemic hypotension caused by the disease must be addressed, as soon as possible to correct the hypotension, improve the nutritional status of the body, pay attention to correct water and electrolyte disorders.