大面积脑梗死的临床特点与治疗措施

Investigation on the clinical characteristics and treatment measures for patients with massive cerebral infarction

目的:探讨并分析大面积脑梗死患者的临床特点和治疗方法。方法:收治大面积脑梗死患者66例,将病情好转和没有好转患者的临床资料进行对比。结果:好转患者明显低于没有好转的患者,好转患者抗凝的治疗有效率50.00%,明显高于没有好转患者的12.00%,差异有统计学意义(P<0.05)。结论:大面积脑梗死患者的病情特殊性比较强,血肿的产生率与转出血率偏高,应及时发觉病灶并确诊,实行对症治疗是改良其预后的主要措施。

Objective:To investigate and analyze the clinical features and treatment for patients with massive cerebral infarction.Methods:66 patients with massive cerebral infarction were selected.The condition improved and no improvement in the patients'clinical data were compared.Results:Patients with the improvement in the condition was significantly lower than the condition didnot improved patients;the efficiency of anticoagulation therapy in patients with improved condition was 50% which higher than ofthe patients did not improve of 12.00% ;the differences were statistically significant(P<0.05).Conclusion:The particularity ofpatients with massive cerebral infarction is relatively strong.The probability of hematoma and turn to cerebral hemorrhage is high.We should detect lesions and diagnosed on time,and the implementation of symptomatic treatment is mainly the improvement ofits prognosis.