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目的探讨大面积脑梗死的临床特点、治疗方法及预后。方法选择近年来收治的大面积脑梗死患者39例,对其临床资料进行回顾性总结分析。结果39例中合并出血性脑梗死12例(30%),全组病例死亡7例,病死率17.95%,存活的32例患者经早期综合治疗及配合高压氧康复治疗遗留严重神经功能丧失者4例,遗留轻度神经功能缺失者11例,临床基本痊愈者17例。结论大面积脑梗死病情凶险,易合并出血性脑梗死,早期综合治疗并配合高压氧及康复治疗可降低病死率及致残率,对内科治疗效差的尽早行去骨瓣减压术,可明显改善预后。
Objective To investigate the clinical features, treatment and prognosis of large area cerebral infarction. Methods Thirty-nine patients with large-area cerebral infarction admitted in recent years were selected and their clinical data were retrospectively analyzed. Results Thirty-nine patients had hemorrhagic cerebral infarction in 12 cases (30%). All the patients died in 7 cases with a mortality rate of 17.95%. 32 patients survived with early comprehensive treatment and hyperbaric oxygen therapy were left with severe neurological loss 4 For example, there were 11 cases of missing mild neurological deficits and 17 cases of basic clinical recovery. Conclusions Large area cerebral infarction is dangerous, easy to merge with hemorrhagic cerebral infarction, early comprehensive treatment combined with hyperbaric oxygen and rehabilitation treatment can reduce the mortality and morbidity, as soon as possible to the effect of medical treatment of bone flap decompression, Significantly improve the prognosis.