偏侧颅骨切除术治疗恶性大脑中动脉梗死

Hemicraniectomy for malignant middle cerebral artery infarction

恶性大脑中动脉梗（malignant middle cerebral artery infarction，mMCAI）患者的转归很差，药物保守治疗的病死率高达80％。近几年发表的几项随机对照试验显示，偏侧颅骨切除术可显著降低mMCAI的病死率，是一种挽救患者生命的治疗措施，即使在年龄〉60岁的患者。

The outcome of patients with malignant middle cerebral artery infarction （mMCAI） is very poor. The mortality of conservative medical treatment is as high as 80%. Several randomized controlled trials published in recent years have shown that hemicraniectomy can significantly reduce the mortality of mMCAI. It is a life-saving therapeutic measure for patients, even if so in patients older than 60 years of age.