大面积脑梗塞的临床特点与治疗

Clinical Characteristics and the Treatment of Massive Cerebral Infarction

目的探讨大面积脑梗塞的临床特点与治疗措施。方法对48例大面积脑梗塞患者的临床表现与治疗进行详细的观察和研究。结果大面积脑梗塞常见的病因有高血压脑动脉硬化、心源性栓塞等。其临床特点为突然起病、进展快,主要症状有病灶对侧偏瘫、偏身感觉障碍和同向性偏盲,意识障碍,眼球同向侧视障碍,颅内高压。结论大面积脑梗塞是脑梗塞中较重的类型。抓住其临床特点,及早诊断,急性期治疗应以积极降低颅内压、控制脑水肿,以及脑保护为主的综合措施。

Objective To explore the clinical characteristics and the treatment of massive cerebral infarction.Methods The clinical manifestations and treatment of 24 patients with massive cerebral infarction were studied.Results The familiar causes of massive cerebral infarction were cerebral arteriosclerosis,high blood pressure,cardiac embolism,and so on.Its clinical features included sudden onset,rapid development.The main symptoms were contralateral hemiplegia,hemianopia,disorders of consciousness,gaze palsy and intracranial hypertension.The therapy in acute phase should be a series of general,positive treatment,such as reducing intracranial pressure,abating brain edema,and cerebral protection.Conclusion Massive cerebral infarction was a type of the serious cerebral infarction,so clinicians should pay more attention to it,grasp its clinical characteristics,diagnose early and treat properly.