大面积脑梗死临床治疗策略

Clinical Treatment Strategy of Large Area Cerebral Infarction

大面积脑梗死是临床上常见的急危重症疾病,治疗方式多样,通过查阅国内外文献,结合实践,总结近年来关于大面积脑梗死临床治疗的方式方法,包括:内科保守治疗、介入治疗、外科手术治疗等,外科手术治疗又包括:标准大骨瓣减压术、标准大骨瓣减压加颞肌贴附术、大骨瓣减压加颅内外血管吻合术、大骨瓣减压加颞极切除术等多种不同的术式,探讨每种治疗方法的适应证及优缺点,为临床更好地治疗此病提供参考。

Large area cerebral infarction is a common acute and severe disease in clinic, various treatment methods, by consulting the domestic and foreign literature, combined with their own practice, to sum up the way of clinical treatment of large area cerebral infarction in recent years included：conservative treatment of internal medicine, interventional therapy, surgical treatment, etc. Surgical treatment includes： standard large bone lfap decompression, standard large bone lfap decompression with temporal muscle sticking, large bone lfap decompression combined with internal and external vessel anastomosis, large bone lfap decompression with a variety of different surgical procedure, to explore the indications, advantages and disadvantages of each treatment, to provide reference for better clinical treatment of the disease.