急性大面积脑梗死56例临床分析

Clinical Analysis of 56 Cases with Acute Massive Cerebral Infarction

目的探讨大面积脑梗死的临床特点及处理方法。方法回顾性分析56例急性大面积脑梗死的临床诊疗资料。结果56例存活36例,存活率53.6%,自动出院8例,死亡12例。存活者均遗留不同程度的神经功能缺损症状,大部分生活不能自理。结论急性大面积脑梗死,主要对危险因素积极有效干预以降低发病率,及早头颅CT检查诊断,治疗中兼顾其它系统疾病,积极防治并发症,可降低死亡率,提高生活质量。

Objective To study the clinical features and therapy methods of massive cerebral infarction. Methods The clinical data of 56 patients with massive cerebral infarction was analyzed retrospectively. Results 36 patients Survived （53.6%） ,8 patients automatic discharged, 15 patients died. All the survivals remain with different nerve function defect, most of them lost selfcare ability. Conclusions Risk factors must be positively and effectively treatment to reduce incidence of cerebral infarction. Timely examination of brain CT can be helpful to diagnose. The other disorders of body must be considered. The active treatment of complications can reduce the mortality.