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目的探讨恶性大脑中动脉梗死的预测和重症监护治疗方法。方法 48例恶性大脑中动脉梗死患者,对其临床资料进行回顾性分析。结果本组患者死亡17例(35.4%)。发病34 h~5 d死亡的患者11例,死因:脑疝的患者5例,脑梗死后出血4例,心力衰竭、肺部感染1例,心肌梗死1例。发病2~3个月内死亡的患者6例,死因:肺栓塞2例,食物反流引起肺部感染和心力衰竭4例。结论加强对恶性大脑中动脉梗死患者病症的预测以及分型分期的准确性,实现早期判断能够促进重症监护治疗的顺利进行以及提高治疗有效性。
Objective To investigate the prediction of malignant middle cerebral artery infarction and intensive care treatment. Methods 48 cases of malignant middle cerebral artery infarction patients, their clinical data were retrospectively analyzed. Results The patients died in 17 cases (35.4%). Eleven patients died of morbidity from 34 h to 5 d. Five patients died of herniation, 4 had hemorrhage after cerebral infarction, 1 heart attack, 1 pulmonary infection and 1 myocardial infarction. Six patients died within 2 to 3 months after the onset of illness. The cause of death was pulmonary embolism in 2 and food reflux caused pulmonary infection and heart failure in 4. Conclusion To improve the prediction of the prognosis of patients with malignant middle cerebral artery infarction and the accuracy of the classification staging, to achieve early judgment can promote the smooth progress of intensive care treatment and improve the effectiveness of treatment.