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目的探讨大面积脑梗死的临床特点及预后。方法回顾性分析50例脑梗死患者的临床表现、头颅CT检查结果及治疗和预后。结果 50例患者多为高龄且存在高血压、糖尿病、冠心病、房颤等危险因素;临床多表现为意识障碍、偏瘫、失语、眼球凝视麻痹、癞痢发作;经过治疗,存活37例,死亡13例。结论脑栓死是大面积脑梗死的主要原因。针对不同的病情采取不同的综合治疗方法,可取得一定效果,预后与梗死面积有关。
Objective To investigate the clinical features and prognosis of large area cerebral infarction. Methods Retrospective analysis of 50 cases of patients with cerebral infarction clinical manifestations, head CT findings and treatment and prognosis. Results Most of the 50 patients were elderly and had risk factors such as hypertension, diabetes, coronary heart disease and atrial fibrillation. The clinical manifestations were disturbance of consciousness, hemiplegia, aphasia, gaze paralysis and dysentery. After treatment, 37 patients survived and 13 died example. Conclusion Cerebral thrombosis is the main reason of large area cerebral infarction. For different conditions to take a different combination of treatment, can achieve some results, prognosis and infarct size.