大面积脑梗塞的临床特征及诊治分析

Clinical features of massive cerebral infarction and its diagnosis and treatment

目的探讨大面积脑梗塞的临床特征、诊治方式及效果。方法回顾性分析2012年8月-2015年8月来我院治疗的80例大面积脑梗塞患者临床资料。结果研究发现,大面积脑梗塞患者临床特征主要为发病速度快、病情进展快等,表现为意识障碍、颅内高压、偏瘫等。经治疗后80例大面积脑梗塞患者存活61例,占76.25%,19例患者经抢救后无效死亡,主要死亡原因为脑疝、器官衰竭等,死亡率为23.75%。结论临床上要按照大面积脑梗塞患者的临床特征、具体情况早期诊断及治疗,从而减少因此病导致的死亡率并提高治疗效果。

Objective To investigate the clinical features of massive cerebral infarction, as well as the diagnostic and therapeutic methods for this disease and their effects. Methods The clinical data of 80 patients with massive cerebral infarction who were treated in our hospital from August 2012 to August 2015 were analyzed retrospectively.Results The analysis showed that the major clinical symptoms of massive cerebral infarction were rapid development and fast progression, and the clinical manifestations included disturbance of consciousness, intracranial hypertension, and hemiplegia. Among these patients, 61（76.25%） survived after treatment, and 19（23.75%） died after rescue, with cerebral hernia and organ failure as the major causes of death. Conclusion In clinical practice, early diagnosis and treatment should be given according to the clinical features of massive cerebral infarction, in order to reduce fatality rate and improve therapeutic effect.